| NPI | 1699352690 |
|---|---|
| Former Name | PAIGE GUILLORY PETTUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 345934) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 45358) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2025-06-20 |