| NPI | 1376913814 |
|---|---|
| Former Name | SHERYL NIENBURG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: NY 673512-1) |
| Enumeration Date | 2015-09-27 |
| Last Update Date | 2015-09-27 |