NPI | 1003015173 |
---|---|
Other Name | MAYRA CRISTINA BEAUCHAMP BRUNO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NH 16259) |
Additional Taxonomies | 207N00000X Dermatology (Licence: PR 17621) |
Enumeration Date | 2007-07-17 |
Last Update Date | 2023-07-26 |