| NPI | 1780759605 |
|---|---|
| Former Name | NATALIE A. BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 43241) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 109023) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2019-12-12 |