Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 2025
NPI: 1720873144
Practice Locations (2)
PO, 1518 ATTN GOVERNMENT PAYER ENROLLMENT
Pasadena, CA 911101518
PO
PASADENA, CA 91110
Source: CMS National Downloadable File, September 2026.