| NPI | 1508060195 |
|---|---|
| Former Name | JENNIFER LYNN SHUTTLESWORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TX BP1-0022188) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2011-01-24 |