Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2003
NPI: 1043352263
Practice Locations (1)
WASHINGTON UNIVERSITY
3023 N BALLAS RD, 120D WUCA WOMEN'S CARE CONSULTANTS
SAINT LOUIS, MO 631312357
3144323669
Source: CMS National Downloadable File, September 2026.