| NPI | 1366793176 |
|---|---|
| Other Name | MARY ALYCE GRINNELL MCKENDREE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018002) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169413) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2023-12-18 |