Medical school: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated: 2011
NPI: 1699055780
Practice Locations (2)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
7070 SAMUEL MORSE DR
COLUMBIA, MD 210463424
4103094600
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
7670 QUARTERFIELD RD
GLEN BURNIE, MD 210613947
4105087650
Source: CMS National Downloadable File, September 2026.