| NPI | 1104933258 |
|---|---|
| Professional Name | JENNA MCDERMED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: FL OPC 4185) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: FL OPC 4185) |
| 152WS0006X Optometrist, Sports Vision (Licence: FL OPC 4185) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2012-08-16 |