| NPI | 1356708630 |
|---|---|
| Former Name | TASHA HUDSON HAVINS |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MI 4704372539) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MI 4704372539) |
| 363L00000X Nurse Practitioner (Licence: MI 4704372539) | |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2024-09-27 |