NPI | 1952523540 |
---|---|
Former Name | CHANDRA BREN MCCARTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 554576) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 554576) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2022-01-25 |