| NPI | 1720600869 |
|---|---|
| Former Name | JESSICA L SEIDEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: WV 120332) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2024-12-03 |