| NPI | 1669634713 |
|---|---|
| Former Name | MAI XIONG THAO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA21681) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 2266) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2014-12-05 |