Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1999
NPI: 1437124989
Practice Locations (1)
STATE UNIVERSITY OF IOWA
105 E 9TH ST, UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENT
CORALVILLE, IA 522412209
3194672000
Source: CMS National Downloadable File, September 2026.