| NPI | 1932546124 |
|---|---|
| Former Name | SHANDY LYNN GILES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 0000017632) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2021-09-07 |