| NPI | 1467680280 |
|---|---|
| Former Name | PARISA RAVANFAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NH 16085) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NH LT 3245) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: NH 16085) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2016-09-27 |