Graduated: 1988
NPI: 1912133687
Practice Locations (3)
3825 N LAFAYETTE ST
DENVER, CO 802053316
1150 VARNUM STREET NE, ST. CATHERINE HALL/1ST FL/RM 102
WASHINGTON, DC 200172108
1669 FORT DAVIS PL SE
WASHINGTON, DC 200201048
Source: CMS National Downloadable File, September 2026.