| NPI | 1124628433 |
|---|---|
| Former Name | JASMINE LAWRENCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29775) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213916) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2025-11-13 |