| NPI | 1235221060 |
|---|---|
| Other Name | COURTNEY LYN MACEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L10024699) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0000167) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-09-03 |