NPI | 1073936282 |
---|---|
Former Name | COURTNEY LOVEMARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: FL ME143659) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA10562900) |
Enumeration Date | 2014-01-23 |
Last Update Date | 2024-08-06 |