| NPI | 1225660186 |
|---|---|
| Former Name | STEPHANIE UMAMOTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA58689) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2020-02-09 |
| Last Update Date | 2023-10-23 |