Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 2003
Offers telehealth
NPI: 1508053695
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 984054265
2535963300
Source: CMS National Downloadable File, September 2026.