| NPI | 1093724965 |
|---|---|
| Former Name | DEBRA JEAN MCNAMARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WV0400X Optometrist Vision Therapy (Licence: CO OPT.0003292) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO OPT.0003292) |
| 152W00000X Optometrist (Licence: HI OD-810) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2024-09-04 |