| NPI | 1093555716 |
|---|---|
| Former Name | JENNA M VAN BOSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: SC 7971) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: SC 7971) |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2025-12-17 |