Medical school: BAYLOR COLLEGE OF MEDICINE
Graduated: 2025
NPI: 1760332886
Practice Locations (3)
2 MERIDIAN BLVD, FL 3
WYOMISSING, PA 196103202
1304 FAWCETT AVE, SUITE 100
TACOMA, WA 984021905
PO BOX, SUITE 1535
TACOMA, WA 98401
Source: CMS National Downloadable File, September 2026.