Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2022
NPI: 1851040265
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
5000 HENNESSY BLVD
BATON ROUGE, LA 708084375
2257654050
Source: CMS National Downloadable File, September 2026.