| NPI | 1740447127 |
|---|---|
| Former Name | MISTY MARIE FALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IN 28174424A) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |