Graduated: 2021
NPI: 1629774666
Practice Locations (3)
2460 PASEO VERDE PKWY, SUITE 145
HENDERSON, NV 890747135
804 COLISEUM LN
Las Vegas, NV 891441244
102 WOODMONT BLVD, SUITE 600
NASHVILLE, TN 372055250
Source: CMS National Downloadable File, September 2026.