| NPI | 1730315433 |
|---|---|
| Former Name | AMY NICOLE GOOKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0102203849) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102203849) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2023-03-07 |