Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2016
NPI: 1780048132
Practice Locations (1)
LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC
925 BEVINS CT
LAKEPORT, CA 954539754
70726383821204
Source: CMS National Downloadable File, September 2026.