| NPI | 1932872231 |
|---|---|
| Former Name | BRIDGETTE LEE HEATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 348124) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 594155) |
| Enumeration Date | 2021-08-01 |
| Last Update Date | 2023-08-16 |