Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2003
NPI: 1336282193
Practice Locations (1)
WILLIS KNIGHTON MEDICAL CENTER INC CRNA GROUP
2600 GREENWOOD RD
SHREVEPORT, LA 711033908
3182124000
Source: CMS National Downloadable File, September 2026.