Medical school: WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated: 2019
NPI: 1962965905
Practice Locations (2)
VICTA LLC
110 ELMWOOD AVE
PROVIDENCE, RI 029072423
4014326029
THE PROVIDENCE COMMUNITY HEALTH CENTERS INC.
228 BROAD ST, FL 1
PROVIDENCE, RI 029034188
4018612403
Source: CMS National Downloadable File, September 2026.