| NPI | 1457325276 |
|---|---|
| Former Name | VERNA JEAN ROSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: SD CP000156) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SD CP000156) |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: SD CP000156) | |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2022-07-21 |