| NPI | 1578723169 |
|---|---|
| Former Name | HANNAH RAE BISHOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KY 8650) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2010-07-28 |