| NPI | 1972529899 |
|---|---|
| Former Name | SUZANNE WILGUS CAMPANA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP142959) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024082243) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-04-09 |