| NPI | 1316185838 |
|---|---|
| Former Name | VICTORIA RAE COBB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: SD 3474) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SD 3474) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |