NPI | 1649662511 |
---|---|
Former Name | EMILY BETH BALCHUNAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN01210) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI CAPRN01210) |
363LG0600X Nurse Practitioner, Gerontology (Licence: RI CAPRN01210) | |
Enumeration Date | 2015-03-02 |
Last Update Date | 2025-03-17 |