| NPI | 1033673983 |
|---|---|
| Former Name | KERRY LYNN URSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176787) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001226798) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2022-04-05 |