NPI | 1073719167 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHY L SCHAEFFER President 360-202-3410 |
Organization Subpart ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP30002152) |
Enumeration Date | 2007-06-25 |
Last Update Date | 2008-11-14 |