| 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 | 363L00000X Nurse Practitioner (Licence: OH COA.14970-NP) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2023-11-20 |