| NPI | 1790940146 |
|---|---|
| Professional Name | BLAIR WHITAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA1130) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001781A) |
| 363A00000X Physician Assistant (Licence: GA 008619) | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2018-05-23 |