Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2021
Offers telehealth
NPI: 1235717166
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
4800 COLLEGE ST SE
LACEY, WA 985034389
3604862900
Source: CMS National Downloadable File, September 2026.