| NPI | 1538954201 |
|---|---|
| Former Name | MICHELLE LYNN GAGNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11040956) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: FL RN9460053) |
| Enumeration Date | 2025-04-11 |
| Last Update Date | 2025-07-16 |