NPI | 1528183068 |
---|---|
Former Name | RITA AL-BOUSTANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.203808) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IA 37117) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2020-10-01 |