| NPI | 1962475582 |
|---|---|
| Former Name | KELLEY WOODRUFF MARSHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: GA 48372) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: GA 048372) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2025-04-21 |