Staff Directory

Meet the team at Graham Health Center.

Ann Rayford ANP-BC
Director
Adult Nurse Practitioner

• Certification: Adult Nurse Practitioner, American Nurses Credentialing Center
• Graduate Degree: MSN Wayne State University
• Undergraduate Degree: BSN Wayne State University

Karen Pfander PA-C
Physician Assistant

• Certification: Physician Assistant, National Commission on Certification of Physician Assistants
• Graduate Degree: University of Detroit-Mercy
• Undergraduate Degree: B.S. Western Michigan University

Elizabeth (Liz) Kreiner, FNP-C
Family Nurse Practitioner

• Certification: Family Nurse Practitioner, American Academy of Nurse
  Practitioners
• Graduate Degree: MSN Kaplan University
• Undergraduate Degree: BSN University of Detroit Mercy

Nancy Jansen ANP-BC
Adult Nurse Practitioner

• Certification: Adult Nurse Practitioner, American Nurses Credentialing Center
• Graduate Degree: MSN Wayne State University 
• Undergraduate Degree: BSN Oakland University 

Nikki Clark FNP-BC
Family Nurse Practitioner
Faculty OU School of Nursing

• Certification: Family Nurse Practitioner, American Nurses Credentialing Center
• Graduate Degree: MSN Oakland University 
• Undergraduate Degree: BSN Oakland University

Carol Roekle, MD
Adult Psychiatrist

• Medical Degree: University of Michigan

Dr. Hina Doshi MD
Consulting Physician

• Board Certification: Internal Medicine
• Medical Degree: Wayne State University
• Undergraduate Degree: University of Michigan - Dearborn

Nohemi Saavedra
Medical Assistant II
Certified Medical Assistant

Melissa Guertin CMA, RMA
Medical Assistant  III
Certified Medical Assistant

Shannon Alfonsi
Medical Biller

Outreach Staff

Sheryl Martz, NP, MSN, RN
Outreach Nurse

Jonica Yakey, RN
Outreach Nurse