| NPI | 1346682010 | 
|---|---|
| Former Name | TAMARA FELICE COUSETT | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.14970)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN305103)  | 
| 363L00000X Nurse Practitioner (Licence: OH COA.14970-NP)  | |
| Enumeration Date | 2013-07-23 | 
| Last Update Date | 2025-10-30 |