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 |