| NPI | 1710373543 |
|---|---|
| Former Name | ALLISON ECKRICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12891) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MN 3473) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2019-03-22 |