| NPI | 1558769356 |
|---|---|
| Former Name | LINDSAY DAWN KOEDAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP000917) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: SD CP000917) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2022-03-30 |