| NPI | 1376847475 |
|---|---|
| Former Name | MADISON E OGANS/ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0003113) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TN 1921) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2025-11-13 |