| NPI | 1790051274 |
|---|---|
| Former Name | LISA GRIMALDI-PAWAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2013-0017) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 5134) |
| 363A00000X Physician Assistant (Licence: CO 3371) | |
| 363A00000X Physician Assistant (Licence: UT 11578037-1206) | |
| 363A00000X Physician Assistant (Licence: CA 58871) | |
| 363AM0700X Physician Assistant, Medical (Licence: NM PA2013-0017) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2022-08-24 |