| NPI | 1104900083 |
|---|---|
| Former Name | STEPHANIE HART-GOULEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: RI MD19002) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MP 0404) |
| 207ZP0101X Pathology Anatomic Pathology (Licence: DC MD040068) | |
| 207ZC0500X Pathology Cytopathology (Licence: RI MD19002) | |
| 207ZC0500X Pathology Cytopathology (Licence: DC MD040068) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2023-03-06 |