| NPI | 1780015537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN BORROMEO-WESNER Member/Owner 206-930-4538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2014-08-27 |