| NPI | 1821372061 |
|---|---|
| Former Name | SARA RUTH CUMPSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 2034) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 7813) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2018-05-14 |