| NPI | 1780939520 |
|---|---|
| Former Name | LAUREN JULIE SIELSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601006501) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2025-01-29 |