Dr. Gagel was born in Louisville, Ky. and has two children who now live in Sarasota. She has a Masters in Nursing degree and practiced nursing for 10 years before going to medical school. She attended the University of Louisville School of Medicine and completed her residency in Family Medicine there as well. She is Board Certified in Family Medicine. She worked for the National Health Service Corps for four years providing healthcare for an area of Ky. that had a shortage of primary care physicians.