NPI | 1447300116 |
---|---|
Former Name | CARLY RENEE AKULIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 076211) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP05205) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2016-09-27 |