NPI | 1407232317 |
---|---|
Former Name | PETRA HAYLEY LUSCHE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK LP2053) |
Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
133NN1002X Nutritionist, Nutrition, Education | |
133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
Enumeration Date | 2015-08-03 |
Last Update Date | 2017-04-26 |