Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2018
NPI: 1508427139
Practice Locations (2)
VIVENT HEALTH INC
1212 57TH ST
KENOSHA, WI 531404069
4142251568
VIVENT HEALTH INC
1311 N 6TH ST
MILWAUKEE, WI 532124006
4142236800
Source: CMS National Downloadable File, September 2026.