| NPI | 1801171731 |
|---|---|
| Former Name | FELICIA YELENA FRIZZELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NM D4224) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 60898) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2018-09-11 |