| NPI | 1700558020 |
|---|---|
| Professional Name | EDLINE ESTIMABLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F403748-01) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2021-10-05 |