Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 2018
NPI: 1578067336
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
5000 HENNESSY BLVD
BATON ROUGE, LA 708084375
2257654050
Source: CMS National Downloadable File, September 2026.