NPI | 1952890998 |
---|---|
Former Name | STEPHANIE LUDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 286624) |
Enumeration Date | 2018-05-04 |
Last Update Date | 2025-03-03 |