| NPI | 1902268469 |
|---|---|
| Former Name | NATASHA VICTORIA BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 285984) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.014119) |
| 207P00000X Emergency Medicine (Licence: CA 20A19124) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2023-08-08 |