| NPI | 1881199453 |
|---|---|
| Former Name | STEPHANIE R SUDDABY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2018021052) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021025562) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2022-10-03 |