Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2022
Offers telehealth
NPI: 1619614922
Practice Locations (1)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
901 WILSHIRE BLVD, FL 1
SANTA MONICA, CA 904011854
3108298945
Source: CMS National Downloadable File, September 2026.