| NPI | 1386041424 |
|---|---|
| Former Name | BONITA HACHEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60805768) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 51766) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2020-11-30 |