| NPI | 1528354214 |
|---|---|
| Former Name | DYAN S ORTIGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19983) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP001430) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2017-02-03 |