Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 2012005904 | MO |
N | 207VG0400X | Gynecologist | 2012005904 | MO |
Y | 207VX0201X | Gynecologic Oncologist | MD60866588 | WA |
NPI | 1083860753 |
---|---|
Provider Name | Dr. Brooke Allison Winner |
First Address | Seattle, WA 98104-1369 |
Second Address | Seattle, WA 98104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2008 |
Last Update Date | 17/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1083860753 | (05) | MO |
ENROLLED | (05) | IL |