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 |