| NPI | 1376809251 |
|---|---|
| Former Name | GRETCHEN M ROOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A108659) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A108659) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |