| NPI | 1578964797 |
|---|---|
| Former Name | BROOKE ASHLEY ORTIZ-POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DC PH100001661) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202212591) |
| Enumeration Date | 2014-09-07 |
| Last Update Date | 2018-09-11 |