The doctor of the future will give no medicine, but will instruct his patient in the care of the human frame, in diet and in the cause and prevention of disease.

I have moved to a membership style with 4 main tracks: Menopause, Weight Loss, Thyroid, and PCOS.  If you have a constellation of symptoms, I will personalize a track for you!

Membership includes regular visits and check-ins, labs, personalized nutrition program, personalized supplement recommendations, and personalized prescriptions for meds, hormones, GLP-1, along with medication oversight.  Reach out to me for more information.  I elaborate on all of this on my Membership Tracks page which I will give access to you with the consultation call.

I also offer a-la-carte visits if needed but I notice people get more out of working with me if it's a 6 month commitment.

I trained as a female family physician in the USAF (National Capital Consortium). As you can imagine, being a female physician in the military lends itself to doing a lot of women's health. In the beginning of my career I delivered lots of babies. I became a Women's Health Coordinator overseas and managed the cervical dysplasia/colposcopy program, doing the full gamut of gyn services (outside of surgery). Since then, my preference has been to work with women because I feel they are not being heard well, and symptoms are overlooked. I also want to work with teens and girls starting at the age of 12 to ensure their health journey is well-educated with someone who listens and cares - I will start working with this younger population when I open my in-person practice.

By "integrative," I mean that I use various modalities to include: nutritional supplements, botanicals, hormones, and medications, and diet. My practice is also influenced by Ayurveda and yogic philosophy.

Ayurveda is an Eastern healing paradigm and the sister science of yoga. It is estimated to have its roots in the Vedas, which were texts written 5000 years ago.  "Ayur" means "Life" in Sanskirt, and "veda" means knowledge - so Ayurveda is the science of Life.  In Ayurveda, physical matter is seen as comprised of 5 elements: ether, air, water, earth, and fire.  Every person is seen as a unique mixture of these elements.  Healing involves using the 5 senses, lifestyle, food, botanicals, and other practices to bring these elements back into harmony within oneself.  An Ayurvedic practitioner may also utilize yoga techniques, to include breathwork and meditation, to bring balance.  On a surface level, Ayurveda seeks to restore physical health.  On a deeper level, Ayurveda seeks to restore balance between body-mind-spirit, and to help us have a deeper experience of who we really are.

Functional Medicine is best described as "root cause medicine."  Functional medicine physicians treat the root cause of the disease rather than just treat it's symptoms.  This is the medical paradigm of the future and you will see more and more allopathic physicians trained in functional medicine.

Root Causes of disease include: chronic stress/ HPA axis dysregulation, food triggers/nutrient depletion, gut health imbalances, immune system imbalances, environmental toxins, and energy production/mitochondrial function.  When we approach a patient we also are looking at their mental, emotional, and spiritual health.

I prescribe medications and hormones where clinically indicated - I work with each person as a unique individual regarding what might best suit them.  I also prescribe nutrients, nutriceuticals, and botanicals.  

Yes. I'm very comfortable working with GLP-1's if they are appropriate for you. See the Weight Loss & PCOS section.

In this practice I treat women over age 18.  

No, in this capacity I will be acting as a consultant and I recommend that all of my patients have a primary care physician who can do an in-person physical exam on you once a year.  I am happy to provide you with your medical notes that you can take to your primary care physician or endocrinologist.

Studies have shown that accurate diagnoses and treatment is 80% based on thorough history taking.  In fact, good history taking really should be considered a "procedure" because it involves a certain level of skill.  Nothing beats an in-person visit (at least for me), but there is ease in not having to get out of your pajamas to go to a medical appointment, and we can reach more people with telemedicine.  You'll find the EMR interface is easy to navigate.  

The biggest limitation is that I cannot do a hands-on physical.  I do have techniques to evaluate people via video, though.  I recommend that you have a hands-on physical by a primary care provider at least once a year.

I do not have a brick and mortar practice at this time.  I currently see family pratice patients in-person at Chapa-De Indian Health in Grass Valley and Auburn, CA.  

Yes.  I am Board Certified in Family Medicine by The American Board of Family Medicine.  I am also certified by The National Board of Physicians and Surgeons.  I work hard to maintain my board certifications.  I believe board certification demonstrates adherence to a certain standard of care.

I'm currently licensed to practice in Nevada, Pennsylvania, Arizona, and California.  By law, that means that my patients must be physically located in any of those states for me to conduct a telemedicine visit with them.  If the demand arises, I would consider getting licensed in additional states.

I don't take insurance for the face-to-face visits with me at this time. I am working on getting an outpatient practice in Reno (and am looking into credentialing with some insurance companies, which takes time).  You can use insurance for medication and most of the labwork I order (which can be done at a conventional lab).  I can also give you a Superbill from your visit that you can submit to your insurance company for reibursement (if they allow it).