| NPI | 1265622070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOELLE THABAULT Physican/Owner 802-862-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: VT 042-0008587) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2008-07-02 |