| NPI | 1255316873 |
|---|---|
| Former Name | DELPHIA MATHILDA CLARKE SHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 2000-00199) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 23086) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2021-06-25 |