| NPI | 1396715264 |
|---|---|
| Former Name | CHANDRA BREN MCCARTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 658334) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 658334) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 589146) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2022-10-03 |