| NPI | 1356796577 |
|---|---|
| Other Name | MADISON AVARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MS PA00287) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL PA1161) |
| 363AM0700X Physician Assistant, Medical (Licence: MS PA00287) | |
| 363AM0700X Physician Assistant, Medical (Licence: AL PA1161) | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2022-05-02 |