Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 2020
Offers telehealth
NPI: 1689293672
Practice Locations (1)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
676 N ST CLAIR, 1600 DEPT OF DERMATOLOGY
CHICAGO, IL 606112997
3126958106
Source: CMS National Downloadable File, September 2026.