| NPI | 1619295847 |
|---|---|
| Former Name | LARA KATHRYN CUMBERLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MA 261805) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2015-12-10 |