Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LW0102X | Nurse Practitioner - Women's Health | 95001649 | CA |
NPI | 1013315779 |
---|---|
Provider Name | Katherine Towers |
First Address | Sacramento, CA 95815-4807 |
Second Address | Sacramento, CA 95815-4807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2014 |
Last Update Date | 30/12/2021 |