| NPI | 1720600869 |
|---|---|
| Former Name | JESSICA L SEIDEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AZ 242287) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ 242287) |
| 163W00000X Registered Nurse (Licence: AZ RN150577) | |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-12-10 |