Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2022
NPI: 1922748656
Practice Locations (2)
11102 SUNRISE BLVD E, SUITE 103
Puyallup, WA 983748846
PO BOX, SUITE 5299
TACOMA, WA 98415
Source: CMS National Downloadable File, September 2026.