Medical school: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated: 2002
NPI: 1407936578
Practice Locations (1)
DHHS PHS NAIHS SHIPROCK HOSPITAL
US HWY 160 AND NAVAJO ROUTE 35-RED MESA
TEECNOSPOS, AZ 86514
9286565165
Source: CMS National Downloadable File, September 2026.