| NPI | 1508353392 |
|---|---|
| Former Name | TARA ESKRIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT3676) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX 040602046) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |