| NPI | 1659615342 |
|---|---|
| Former Name | TYRONJALA SHONTEL GAINEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN175270) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2016-09-19 |