NPI | 1861840050 |
---|---|
Former Name | CHERYL HARTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-19888) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: SC MAS.3050) |
Enumeration Date | 2016-05-27 |
Last Update Date | 2016-05-27 |