Graduated: 2021
NPI: 1558999813
Practice Locations (3)
11035 LAVENDER HILL DR, SUITE 160 223
LAS VEGAS, NV 891352955
90 HOPE DR
HERSHEY, PA 170332036
652 SPRINGHOUSE LN
HUMMELSTOWN, PA 170367015
Source: CMS National Downloadable File, September 2026.