| NPI | 1922563493 |
|---|---|
| Former Name | SHANNON FRANCES ROOF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1115123) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 925668) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2023-07-31 |