| NPI | 1083608020 |
|---|---|
| Former Name | KIESHA MARIE RABURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95019436) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL ARNP 3088792) |
| 163WH0200X Registered Nurse, Home Health (Licence: OH 12902) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP3088792) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 12902) | |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2022-02-19 |