| NPI | 1184701369 |
|---|---|
| Former Name | CHARRELL MOYO BULLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA09387400) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD424309) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-01-24 |