Medical school: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1861570004
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.