| NPI | 1013249093 |
|---|---|
| Former Name | SHANNON MARIE THIBODEAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 718693) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2014-03-28 |