Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1669801395
Practice Locations (1)
COUNTY OF WASHTENAW
110 N 4TH AVE, WASHTENAW COUNTY COMMUNITY MENTAL HEALTH
ANN ARBOR, MI 481045503
7345443050
Source: CMS National Downloadable File, September 2026.