| NPI | 1891202511 |
|---|---|
| Former Name | CHRISTINE ANN GAGNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 14416) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2023-03-10 |