| NPI | 1104755859 |
|---|---|
| Former Name | VANESSA DENISE COPES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT025298) |
| Enumeration Date | 2026-05-18 |
| Last Update Date | 2026-06-02 |