| NPI | 1407106743 |
|---|---|
| Professional Name | DIRK ELWYN ROOTS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP07063) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2013-02-23 |