Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1790774552
Practice Locations (1)
DHHS PHS NAIHS SHIPROCK HOSPITAL
US HWY 160 AND NAVAJO ROUTE 35-RED MESA
TEECNOSPOS, AZ 86514
9286565165
Source: CMS National Downloadable File, September 2026.