| NPI | 1376284166 |
|---|---|
| Former Name | EDITH VELIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022012069) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-81764-051) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2023-07-25 |