| NPI | 1659121432 |
|---|---|
| Former Name | KAITLIN ANNE SICKLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI61376966) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WA 86289883) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2025-03-10 |