| 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 |