| NPI | 1790014223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET ELVIRA SACKMANN Owner 253-797-6239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: WA AP30001790) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2010-07-01 |