| NPI | 1164003604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI L HUDSON Physician Member 703-712-9799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 171400000X Health & Wellness Coach | |
| 171R00000X Interpreter | |
| 207QB0002X Family Medicine, Bariatric Medicine | |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-16 |