Medical school: OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 2026
NPI: 1366390031
Practice Locations (2)
750 E BELTLINE AVE NE
GRAND RAPIDS, MI 495256049
15933 CLAYTON RD, SUITE 210
BALLWIN, MO 630112154
Source: CMS National Downloadable File, September 2026.