| NPI | 1871869404 |
|---|---|
| Former Name | ALIA NICOLE GUILLAUME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.123914) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OH 35.123914) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2025-06-27 |