Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 0101253753 | VA |
Y | 213ES0000X | Sports Medicine | 0101253753 | VA |
NPI | 1316100456 |
---|---|
Provider Name | Dr. Aisha Sophia Joyce |
First Address | Norfolk, VA 23507-1910 |
Second Address | Norfolk, VA 23507-1910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 12/01/2021 |