| NPI | 1811241722 |
|---|---|
| Former Name | DEBORAH JOAN BAHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005945) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 111042) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2022-01-28 |