| NPI | 1043350705 |
|---|---|
| Former Name | DAWN M RIEDEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0002285) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: CO 2285) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2021-12-06 |