| NPI | 1164819520 |
|---|---|
| Former Name | ANASTASIA PEMBERTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CO DR.0059839) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2020-07-14 |