| NPI | 1669634713 |
|---|---|
| Former Name | MAI XIONG GILLINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 21681) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 2266) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2025-09-10 |