Graduated: 2024
NPI: 1437042884
Practice Locations (3)
4800 T REX AVE, SUITE 20
BOCA RATON, FL 334314479
11120 NE 33RD PL, SUITE 202
BELLEVUE, WA 980041444
420 NE 72ND ST APT, SUITE 215
Seattle, WA 981155748
Source: CMS National Downloadable File, September 2026.