| NPI | 1891779294 | 
|---|---|
| Other Name | MARY PAMELA MILLAN JENNINGS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-080489)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN2027)  | 
| Enumeration Date | 2005-11-30 | 
| Last Update Date | 2024-01-09 |