| NPI | 1831455534 |
|---|---|
| Former Name | KYNA J ZACHARIAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 169575) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 66034-20) |
| 208D00000X General Practice (Licence: WI 66034-20) | |
| 208D00000X General Practice (Licence: IA MD-43603) | |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2022-02-21 |