Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2012
NPI: 1225393663
Practice Locations (1)
EASTER SEALS UCP NORTH CAROLINA AND VIRGINIA, INC.
100 LOOP ST
CLINTON, NC 283284062
9105962221
Source: CMS National Downloadable File, September 2026.