| NPI | 1366852063 |
|---|---|
| Former Name | CYNTHIA D WHITAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 8679) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC 2103) |
| 363A00000X Physician Assistant (Licence: WI 4313) | |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2025-07-17 |