| NPI | 1679093538 |
|---|---|
| Former Name | SETHA WADE TREADWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ME PA366) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME TPA366) |
| 363A00000X Physician Assistant (Licence: ME PA366) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2023-06-30 |