| NPI | 1114419207 |
|---|---|
| Former Name | KIMBERLY ANN FERRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX V4909) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IA R-11280) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2025-06-30 |