Staff Bios

Dr. Margaret Gaines is a Clinical Assistant Professor of Medicine in the Division of Gerontology at the Univ of WA.  She joined the practice in 2003 as a consultant.  She is board certified in Geriatric Medicine and Palliative Care and has a passion and dedication for serving the frail elderly of our community.

Betty Westfall, owner and manager of In Home Primary Care earned her Master of Nursing from the University of Washington and is certified as an Adult Registered Nurse Practitioner (ARNP).  She earned her Bachelor of Nursing from the University of Wisconsin in 1972.  She is on the clinical staff at the U of WA.

Marilyn Borromeo-Wesner is a master’s prepared and board-certified adult and gerontological nurse practitioner at Seattle Pacific University. Her work experience has been focused on taking care of the older population in the community for over 20 yrs. She’s had special training, experience, and been a sub-investigator in clinical trials in movement disorders such as Parkinson’s disease, Essential Tremor, and Restless Leg Syndrome

Barbara Eisenberg ARNP received her Family Nurse Practitioner Masters of Science from Seattle Pacific University and her undergraduate Nursing training from the University of Washington.  She is a  native of the Seattle area, is married with two daughters.  She enjoys comprehensive and compassionate care for fragile homebound elderly and feels that forming a partnership with patients and their families and caregivers is essential.

Jeniffer Tobon ARNP graduated in 2007 from the Adult/Older Adult Nurse Practitioner program at the University of Washington.  She began her nursing career as a home health RN in New York City, where her passion for working with older adults in the community developed. Jeniffer is also a certified wound and ostomy care specialist and has worked in a variety of settings and roles as an advanced practice nurse. Her favorite role is teaching nurses, caregivers, patients and families. She holds a position as an Affiliate Faculty at UW School of Nursing. She lives on a farm in Bow, Washington with her husband, where they enjoy gardening, raising pigs and growing vegetables.

Nikki Guthmiller has been a LPN for 18 years, caring for geriatrics her entire nursing career.  Her experience includes nursing homes, assisted living facilities and adult family homes.  She currently lives in Monroe with her husband and two daughters.