| NPI | 1710277215 |
|---|---|
| Former Name | SHELLY HAUG GIVEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ID M-14224) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2020-11-12 |