| NPI | 1902613599 |
|---|---|
| Former Name | DAJINE EWING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001297802) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: VA 0001297802) |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |