| NPI | 1194109264 |
|---|---|
| Former Name | TAESIA CONSTANCE ALFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP130974) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130974) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9304820) | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2022-08-28 |