Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 2012
NPI: 1407113079
Practice Locations (1)
INTEGRATED DERMATOLOGY OF PONCHATOULA LLC
190 GREENBRIAR BLVD, SUITE 103
COVINGTON, LA 704337237
9853707546
Source: CMS National Downloadable File, September 2026.