| NPI | 1750602199 |
|---|---|
| Former Name | LAURA ELIZABETH PERSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P5288) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: TX P5288) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2022-10-24 |