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

Melissa Guertin CMA
Medical Assistant  III

Certified Medical Assistant

Shannon Alfonsi
Medical Biller

Outreach Staff

Jonica Yakey, RN Registered Nurse
Sheryl Martz, NP, MSN, RN