Medical school: WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated: 2017
NPI: 1386171361
Practice Locations (2)
PO BOX, SUITE 731689
Puyallup, WA 983730017
4210 10TH ST SE
PUYALLUP, WA 983742191
2538405397
Source: CMS National Downloadable File, September 2026.