| NPI | 1649662511 |
|---|---|
| Former Name | EMILY BETH BALCHUNAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI CAPRN01210) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI CAPRN01210) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2022-03-01 |