Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 2022
NPI: 1609517382
Practice Locations (2)
PO, 1518 ATTN GOVERNMENT PAYER ENROLLMENT
Pasadena, CA 911101518
9621 RIDGETOP BLVD NW
SILVERDALE, WA 983838502
Source: CMS National Downloadable File, September 2026.