Graduated: 2008
NPI: 1104066802
Practice Locations (2)
CHRISTUS HEALTH NORTHERN LOUISIANA
1453 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 711056800
3186816678
WILLIS KNIGHTON MEDICAL CENTER INC CRNA GROUP
2600 GREENWOOD RD
SHREVEPORT, LA 711033908
3182124000
Source: CMS National Downloadable File, September 2026.