Medical school: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated: 2022
NPI: 1538805031
Practice Locations (1)
DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
HIGHWAY 191 AND HOSPITAL RD
CHINLE, AZ 865038000
92867470307030
Source: CMS National Downloadable File, September 2026.