| NPI | 1336791870 |
|---|---|
| Former Name | SYDNEY ASSELSTINE-SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine (Licence: NJ 25MA11524800) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2024-06-25 |