Graduated: 2014
NPI: 1922427624
Practice Locations (2)
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY
180 W ESPLANADE AVE
KENNER, LA 700652467
5044688600
EL CENTRO FAMILY HEALTH
2243, 68 EMBUDO CLINIC
EMBUDO, NM 875310098
5055794255
Source: CMS National Downloadable File, September 2026.