NPI | 1619932100 |
---|---|
Professional Name | LINDA RAE KUISMI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 2515) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN NP098824-5) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2019-06-10 |