Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 7489 | GA |
N | 208000000X | Pediatrician | A155639 | CA |
Y | 2080P0203X | Pediatric Critical Care Doctor | A155639 | CA |
NPI | 1063895811 |
---|---|
Provider Name | Dr. Katherine Perofsky |
First Address | Sacramento, CA 95816-6039 |
Second Address | Sacramento, CA 95816-6039 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2015 |
Last Update Date | 17/09/2021 |