Medical school: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated: 2015
NPI: 1609256742
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
1680 D E ROSEVILLE PKWY, BLDG D UNIT 110
ROSEVILLE, CA 956613988
9167844000
Source: CMS National Downloadable File, September 2026.