NPI | 1174852206 |
---|---|
Former Name | CHRISTINE GAGNON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: ME MC19783) |
Additional Taxonomies | 376G00000X Nursing Home Administrator |
Enumeration Date | 2009-12-20 |
Last Update Date | 2021-04-23 |