NPI | 1114514122 |
---|---|
Former Name | ALEXANDRA ROSE GRUBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: CA 95270872) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CA L-302511) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-12-23 |
Last Update Date | 2023-09-14 |