Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | M6292 | ID |
N | 111NI0900X | Internist | M6292 | ID |
Y | 207RH0002X | Hospice and Palliative Medicine | M6292 | ID |
NPI | 1396781563 |
---|---|
Provider Name | Julia Jeanne Hill |
First Address | Boise, ID 83712-6241 |
Second Address | Boise, ID 83712-6241 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 06/09/2016 |