| NPI | 1619325073 |
|---|---|
| Former Name | SHEENA MARSHON' FANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.19135) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2020-09-26 |