| NPI | 1609192061 |
|---|---|
| Former Name | SUZANNE MARIE MCGRORTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: NY 289786) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 289786) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2018-03-17 |