NPI | 1750641296 |
---|---|
Former Name | WHITNEY ANN SWEET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 39263) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-313160) |
225100000X Physical Therapist (Licence: NY 033905) | |
Enumeration Date | 2012-05-17 |
Last Update Date | 2024-09-05 |