| NPI | 1003340175 |
|---|---|
| Former Name | ALIDA ROSE OVRUTSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ME MD24923) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0006651) |
| Enumeration Date | 2017-04-16 |
| Last Update Date | 2022-04-04 |