NPI | 1760861348 |
---|---|
Former Name | MARADITH LYNN NOONEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: LA 328460) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35.133601) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 35.133601) | |
Enumeration Date | 2015-05-28 |
Last Update Date | 2021-08-24 |