Medical school: MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1750970281
Practice Locations (2)
11024 MONTGOMERY BLVD NE, PMB 352
ALBUQUERQUE, NM 871113962
PO BOX
ALBUQUERQUE, NM 87125
Source: CMS National Downloadable File, September 2026.