| 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 |