| NPI | 1780096255 |
|---|---|
| Former Name | SARA JANE MABRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: NM 72117) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |