| NPI | 1376284166 |
|---|---|
| Former Name | EDITH VELIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-81764-051) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-81764-051) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2022012069) | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-08-29 |