| NPI | 1164099701 |
|---|---|
| Former Name | NATALIE RENEE BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX W4590) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10076980) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2026-06-02 |