| NPI | 1013300011 | 
|---|---|
| Former Name | EDERLE DESSA GARNETT | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 432102) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 339019) | 
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY 608765) | |
| Enumeration Date | 2015-03-15 | 
| Last Update Date | 2025-09-29 |