| NPI | 1053020867 |
|---|---|
| Professional Name | SAMARA ALEXIS GLAVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61403677) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2023-02-21 |