Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 2020
NPI: 1316566169
Practice Locations (2)
1115 SE 164TH AVE DEPT, SUITE 358
Vancouver, WA 986838004
8716 E MILL PLAIN BLVD
VANCOUVER, WA 986642531
Source: CMS National Downloadable File, September 2026.