Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2022
NPI: 1558080747
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
13020 MERIDIAN AVE S, SUITE 201
EVERETT, WA 982086468
4253573700
SWEDISH HEALTH SERVICES
1401 MADISON ST, SUITE 100
SEATTLE, WA 981041316
2063866111
Source: CMS National Downloadable File, September 2026.