NPI | 1942595772 |
---|---|
Former Name | MEGAN ELIZABETH KULTGEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: IL 015-296995) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60163703) |
Enumeration Date | 2011-06-09 |
Last Update Date | 2013-08-26 |