| NPI | 1174158604 |
|---|---|
| Other Name | EDSEL NOVAL ESTABILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145173) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP145173) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2024-02-05 |