Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1346645074
Practice Locations (2)
375 E CENTRAL AVE, SECOND FLOOR SUITE 377
Winter Haven, FL 338803047
7322 RAINIER AVE S, UNIT 404
SEATTLE, WA 981184264
Source: CMS National Downloadable File, September 2026.