| NPI | 1730779919 |
|---|---|
| Former Name | MADISON FAY GRAHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR0008316) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 0008316) |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2023-09-08 |