Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 2020
NPI: 1659990919
Practice Locations (3)
2 MERIDIAN BLVD, FL 3
WYOMISSING, PA 196103202
1304 FAWCETT AVE, SUITE 100
TACOMA, WA 984021905
PO BOX, SUITE 1535
TACOMA, WA 98401
Source: CMS National Downloadable File, September 2026.