| NPI | 1013300011 |
|---|---|
| Former Name | EDERLE DESSA GARNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 339019) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY 608765) |
| Enumeration Date | 2015-03-15 |
| Last Update Date | 2019-06-20 |