| NPI | 1417678814 |
|---|---|
| Former Name | MARGARET MARIE FREIERMUTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 8168) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 15090) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2025-10-30 |