NPI | 1598286536 |
---|---|
Former Name | SONNIER FAYE VANDER PLOEG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 56521) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR 197687) |
363A00000X Physician Assistant (Licence: AZ 6735) | |
Enumeration Date | 2017-06-29 |
Last Update Date | 2023-05-16 |