| NPI | 1265922462 |
|---|---|
| Former Name | JACQUELINE HEATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA12422000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 304028) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2025-05-05 |