Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 2006
NPI: 1043367907
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
101 W 8TH AVE, FL 3 NORTH
SPOKANE, WA 992042307
5094742847
Source: CMS National Downloadable File, September 2026.