NPI | 1720542269 |
---|---|
Former Name | RACHEL (RAE) KRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WY 447) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ID D-1075) |
Enumeration Date | 2019-01-29 |
Last Update Date | 2023-11-27 |