| NPI | 1750647244 |
|---|---|
| Former Name | ANNIKA KAMBERELIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004033) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 2701) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2024-01-08 |