Our Care Team
At Inflexxion Health, our care team is more than a group of clinicians — we’re your dedicated partners in navigating midlife with clarity, confidence, and care that evolves with you. Each provider brings specialized expertise in women’s health, with a deep understanding of the physical, emotional, and hormonal changes that define the menopause transition.
Our Clinical Leadership

Rowena Chua, MD, ABOIM, ABOM
Medical Practice President
Dr. Rowena Chua is a board-certified neurologist and integrative medicine specialist with over 24 years of clinical experience and a passion for reimagining women’s healthcare.
She brings a unique whole-person perspective to patient care — rooted in both conventional medical expertise and evidence-based integrative therapies.
In addition to her work for Inflexxion Health, Dr. Chua is the founder of Meliora Integrative Medicine, a practice focused on hormonal health, metabolic optimization, and longevity.
Clinician Spotlight
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Madeleine Skousen, MSN, ARNP
Madeleine Skousen is a nurse practitioner bringing a thoughtful, patient-centered approach to women’s health and midlife care.
With advanced training in family medicine and a master’s from Georgetown University, Madeleine focuses on perimenopause and menopause—areas where too many women feel dismissed or overlooked. Her roots in Arizona and Utah shape how she connects with patients, meeting them with understanding and validation from the start.
At Inflexxion Health, she takes an evidence-based, collaborative approach, helping women better understand their symptoms and feel confident in their care.

Julee Avram, MSN, WHNP-BC
Dr. Julee Avram is a U.S. Air Force veteran and clinician at Inflexxion Health, dedicated to increasing access to high-quality, evidence-based women’s health care. With over two decades of experience, she previously served as a Medical Director for Women’s Health in the Air Force, where she led initiatives to improve reproductive and hormonal care for service members globally.
An expert in menopause, perimenopause, and hormone replacement therapy (HRT), Dr. Avram focuses on providing women with the accurate information and individualized care they need to navigate these life stages with confidence. At Inflexxion Health, she continues this mission by helping patients find personalized care regardless of their access to traditional systems.
Dr. Avram resides in Cheyenne, Wyoming, with her husband and son. Outside of her clinical practice, she enjoys hiking, skiing, and spending time with her family and friends. confident in their care.
What Makes Us Different
All of our providers are very experienced clinicians with long-standing interest and expertise in hormone replacement therapy. They were doing menopause care before it got "hot" (pun intended).
We hire our team directly. Each Nurse Practitioner receives ongoing training and hand-on coaching. Some telehealth platforms use third-party providers, which isn't always apparent.
We know every menopause journey is unique so we tailor our care to your goals. Our telehealth platforms are bigger so they take a different approach to gain scale.
Our technology platform is very modern, which enables our clinicians to focus on your care rather than on tasks and forms.

