| 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 |