Graduated: 1994
NPI: 1477966992
Practice Locations (2)
FLORIDA WOMAN CARE LLC
5481 W WATERS AVE, SUITE 111
TAMPA, FL 336341205
3605139665
CHARLESTON AREA MEDICAL CENTER INC
3200 MACCORKLE AVE SE
CHARLESTON, WV 253041227
3043885432
Source: CMS National Downloadable File, September 2026.