| NPI | 1497557185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA BROWN Certified Nutrition Specialist 518-332-2738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-03-25 |