| NPI | 1477182434 |
|---|---|
| Former Name | JASMINE LEIGH BAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: AK NURR25762) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2021-01-17 |