Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1991
NPI: 1730306374
Practice Locations (1)
MUCKLESHOOT INDIAN TRIBE
17500 SE 392ND ST, MUCKLESHOOT HEALTH AND WELLNESS CTR
AUBURN, WA 980929705
2539396648
Source: CMS National Downloadable File, September 2026.