| NPI | 1851008205 |
|---|---|
| Former Name | LAINEY LARGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0013680) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 31591) |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2023-09-06 |