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Carly Ramos RN, MSN, PMHNP-BC, is a board-certified psychiatric mental health nurse practitioner at Safe Harbor Psychiatry in Newburyport, Massachusetts. She is clinically educated in treating patients with mental health diagnoses across the lifespan. 

Carly earned her Bachelor of Nursing Degree at Hartwick College in Oneonta, New York, where she was inducted into the Sigma Theta Tau International Nursing Society, received the Emerson International Internship Scholarship, and was named Faculty Scholar. As a member of the Hartwick College Nursing Program, Carly was elected as the president of the Hartwick College Association of Student Nurses and was a leader of the Unified Nurses Instructional Team. Post graduation, Carly elected to continue her nursing education at Northeastern University, earning a Master’s Degree in Advanced Psychiatric Nursing.

Acknowledged for her extensive nursing experience in the field of psychiatry, Carly started her nursing career working on an inpatient adult psychiatry unit at Spring Harbor Hospital in Westbrook, Maine. She later moved to Boston and accepted a position as the Director of Nursing at the Ivy Street School in Brookline, a residential school focused on providing trauma-informed psychiatric care to children and adolescents with autism spectrum disorder, behavioral health diagnoses, brain injury, and other major mental illnesses.

Upon graduation from Northeastern University, Carly began her advanced psychiatric nursing practice at South Shore Psychiatric Services in Hingham, Massachusetts, where she provided psychotherapy and psychopharmacology services to individuals across the lifespan with a focus on treating children and adolescents. Carly received additional research training from South Shore CEO and former director of clinical trials at MGH, MaryAnn McDonnell, PhD, NP, and has participated as a co-investigator on ADHD clinical research trials.   

Carly is recognized for her subspecialty in autism. In 2018, Carly was awarded a position at Boston Medical Center as an Autism Fellow, where she received specialized training, education, and clinical experience working specifically with transition-aged youth with autism, intellectual disability, and co-morbid mental health diagnoses. Presently, Carly works part-time at Massachusetts General Hospital at the Bressler Clinic and Research Program, providing diagnostic evaluation and ongoing medication management to individuals aged 6-40 with autism spectrum disorder, attention deficit hyperactivity disorder, and other co-morbid psychopathologies.

In addition to providing direct patient care, Carly is dedicated to furthering the education and training of others in the field of psychiatric nursing by acting as a clinical preceptor to students enrolled in advanced psychiatric nursing graduate programs. Carly also provides supervision to newly licensed Psychiatric Nurse Practitioners who are working towards independent practice after two years of collaborative practice. She is currently pursuing her Doctorate of Nursing Practice at Rivier University to expand her clinical and leadership skills to better provide support and advocacy for her patients.

Carly is passionate about providing holistic and comprehensive mental health care for patients and families. Carly believes strongly in providing her patients with education regarding diagnosis/medication/accessing the mental health care system and encourages clients to practice autonomy as it pertains to psychiatric treatment.

Madeline Burke, MHS, PA-C, is a certified physician assistant at Acton Urgent Care, with an office in Acton, Massachusetts. Madeline is passionate about delivering her insight into urgent care, acute care, internal medicine, and infectious disease, to help improve the health and lives of her patients. She uses a well-informed and thorough approach to diagnose and treat medical conditions.

Madeline earned her bachelor’s degree in health sciences, as well as her master’s degree in physician assistant studies from Drexel University College of Nursing and Health Professions in Philadelphia, Pennsylvania. She is certified by NCCPA, and holds certifications in basic life support (BLS) and advanced cardiac life support (ACLS). 

Prior to joining Acton Urgent Care, Madeline practiced in the field of metabolic health and cared for patients with metabolic dysfunction. She has gained broad experience in urgent care, emergency medicine, behavioral health, obstetrics and gynecology, family medicine, and internal medicine to meet individual needs.

Her outside interests include visiting local and out-of-state destinations, such as Cape Cod and Lake Winnipesaukee, to swim and bicycle. She also enjoys reading a compelling book, running outdoors, traveling, and spending quality time with her friends and family.

Suruchi Kaul, MD, is a board-certified internal medicine and nephrology specialist at Norwood Medical Associates in Norwood, Massachusetts. She is certified by the American Board of Internal Medicine and highly trained in primary care. 

Dr. Kaul has been practicing medicine in Norwood since 2008, after moving to the area from Minnesota. She specializes in treating kidney diseases, particularly in managing chronic kidney disease due to hypertension and diabetes. 

She earned her medical degree at Lady Hardinge Medical College, Delhi University, in India. Dr. Kaul completed residencies at St. Luke’s Hospital in St. Louis, Missouri; the University of Minnesota VA Medical Center in Minneapolis, Minnesota; and the University College of Medical Sciences Delhi University in Delhi, India.

Dr. Kaul also completed a fellowship in nephrology at the University of Minnesota in Minneapolis and in immunology and uveitis at the University of Illinois in Chicago. She’s a member of the American College of Physicians, National Kidney Foundation, American Society of Nephrology, and Delhi Ophthalmological Society. During her residency, Dr. Kaul developed an interest in further studying kidney disease. 

She enjoys educating patients about disease complications to reduce their risk of experiencing severe medical problems. Dr. Kaul feels privileged to help her patients understand and gain control of their health and well-being.

In her free time, she enjoys traveling with her family, reading, and being involved in the PTO at her children’s school. She helps with various educational activities, including the Understanding Our Differences program, and volunteers at a local library.

Dr. Kaul welcomes existing and new patients to Norwood Medical Associates and enjoys caring for them.

Savitha Gowda, MD, is a board-certified internal medicine specialist at Norwood Medical Associates in Norwood, Massachusetts. She is certified by the American Board of Internal Medicine and has decades of experience. 

Dr. Gowda has been practicing medicine in Norwood since 1998. She was raised in a large family in India, growing up with many family members who suffered from diabetes complications. Her mother donated a kidney to her father, but he eventually succumbed to his illness. All of this influenced Dr. Gowda’s decision to practice medicine. 

She earned her medical degree at Bangalore University in India and completed a residency in internal medicine at Newton-Wellesley Hospital in Newton, Massachusetts, and St. Raphael Hospital in New Haven, Connecticut. 

Dr. Gowda has been ranked a Top Doctor for the last 13 consecutive years. She also received the Boston Magazine Top Doctor Award, America’s Top Doctor Award, and Top Geriatrician. She is a member of the American Medical Association, Massachusetts Medical Society, and American College of Physicians.

Dr. Gowda enjoys helping her patients improve their lives through general health awareness, improved lifestyle habits, and convenient access to their medical provider. She’s constantly involved in optimizing primary care. Dr. Gowda is grateful to her patients for their respect and trust. 

She understands the importance of superior health care for improving the quality of life and preventing severe complications. She knows her patients well, makes them feel comfortable during their appointments, and treats them with respect and compassion. Dr. Gowda is thorough, providing comprehensive primary care services in a state-of-the-art facility. 

When not working with patients, Dr. Gowda enjoys traveling around the world, learning about different cultures, reading books, gardening, and watching movies. She supports numerous local charities that improve health care, hunger, and education. 

Dr. Gowda enjoys improving the lives of new and existing patients and welcomes them to Norwood Medical Associates.

Dr. Muhammad Bajwa is a Board Certified Internal Medicine Physician licensed to practice medicine in Massachusetts. He strives to provide compassionate patient care in a comprehensive and effective way.

Dr. Bajwa spent 3 years in Harvard-associated hospitals (Mass General Hospital, Joslin Diabetes Center, and Beth Israel Medical Center) doing clinical research in Cardiovascular Disease and Diabetes. He obtained his Research Fellowship from Joslin Diabetes Center, Boston MA in 2011.

He continued his career with internal medicine training at Good Samaritan Hospital, University of Cincinnati, OH. He completed his residency in 2015 and moved to Rhode Island Hospital as a teaching attending in the Department of Medicine at Brown University.

Dr. Kristin Broughton, MD, is a highly skilled family medicine physician at Southern New Hampshire Internal Medicine in Derry, New Hampshire. She joined the practice in 2024 and brings a wealth of experience.

A distinguished graduate of the University of Oklahoma College of Medicine in Oklahoma City, Dr. Broughton is dedicated to providing top-notch medical care to her patients. Her comprehensive approach to family medicine ensures that individuals of all ages receive personalized and compassionate care.

Dr. Broughton, who lives in New Boston with her husband and two young children, is deeply connected to the community. Outside her professional commitments, she enjoys spending quality time outdoors, engaging in activities such as gardening, hiking, and boating. 

Dr. Broughton is passionate about her role at Southern New Hampshire Internal Medicine and looks forward to building lasting relationships with her patients in Derry and the surrounding areas. She is committed to enhancing the health and well-being of the community, ensuring each patient receives the attention and care they deserve.

Dr. Yuliya  Mandel is a Board Certified Family Physician who joined SNHIMA in 2024 after relocating to The Granite State.  She brings  over 15 years of experience in the primary care field , with a strong commitment to delivering high-quality, patient-centered healthcare.

Dr. Mandel earned her medical degree from the Crimean Medical Institute and completed her postgraduate residency training at St. John’s Hospital and Medical Center in Detroit, MI.  Upon completion of her residency, she founded and managed a successful primary care practice in North Andover, MA, where she cared for hundreds of patients over the span of more than a decade.

She has chosen to continue her career at SNHIMA, as our philosophy of providing personalized, compassionate care aligns with her own. 

Dr. Mandel's clinical expertise and dedication have equipped her to care for a diverse patient population. She is excited to welcome both new and existing patients to see her in our Derry and Windham offices.

Kara Fiore, FNP-C, is a dedicated Family Nurse Practitioner at Seacoast Dermatology, a Forefront Dermatology Practice, specializing in comprehensive dermatological care. She offers expert treatment for a variety of skin conditions, including skin cancer detection, acne treatment, eczema management, and more.

Kara's passion for dermatology stems from her commitment to improving patients' quality of life through effective skin care solutions. She emphasizes patient education, ensuring her patients understand their conditions and treatment options to make informed decisions about their health.

A native of southern New Hampshire, Kara pursued her nursing education at the University of Tampa and later earned her Master’s of Science in Nursing from Simmons University in Boston. She has extensive experience in both clinical and hospital settings, including her work as a Registered Nurse at Boston Children’s Hospital and Johns Hopkins All Children’s Hospital.

Kara's approach to patient care is rooted in empathy, clear communication, and staying current with the latest advancements in dermatology. She is dedicated to providing personalized care tailored to each patient's unique needs.

For expert dermatological care in the New Hampshire seacoast area, trust Kara Fiore, FNP-C, at Seacoast Dermatology.

Zainab Nawab, MD, is a skilled physician at Vitalize MD Skin Care & Laser Center in Westborough, Massachusetts. Dr. Nawab is the aesthetics medical director and is board-certified in family medicine.

Dr. Nawab received her medical degree at Rural Medical College of Pravara Medical Trust in Ahmednagar, Maharashtra, India. She completed family medicine residencies at the University of Massachusetts (UMass) in the Commonwealth of Massachusetts, and at St. Elizabeth’s Medical Center in Boston, Massachusetts.

Dr. Nawab is a practicing primary care physician who focuses on preventive medicine. She applies this philosophy to all aspects of patient care, including cosmetic treatments. Dr. Nawab realizes that a big part of being healthy is maintaining beautiful skin.

She specializes in treating all types of skin types and signs of aging, such as lines, wrinkles, sagging skin,  age spots, and much more. Dr. Nawab offers Botox®, Dysport®, fillers like Restylane®, Radiesse®, Versa™, Kybella®, laser resurfacing treatments, skin-tightening procedures, microdermabrasion, and chemical peels.

She also provides microneedling, body contouring, and more to help patients look and feel as young as possible. Dr. Nawab achieves natural-looking results for her patients by utilizing techniques that ensure organic-looking results to create a younger, more refreshed appearance.

She maintains her medical credentials with continuing education and is a member of the American Academy of Family Physicians (AAFP) and the Massachusetts Medical Society (MMS). Dr. Nawab warmly welcomes her patients to Vitalize MD Skin Care & Laser Center and looks forward to helping them exceed their beauty goals.

Kara Fiore, FNP-C, is a dedicated Family Nurse Practitioner at Seacoast Dermatology, a Forefront Dermatology Practice, specializing in comprehensive dermatological care. She offers expert treatment for a variety of skin conditions, including skin cancer detection, acne treatment, eczema management, and more.

Kara's passion for dermatology stems from her commitment to improving patients' quality of life through effective skin care solutions. She emphasizes patient education, ensuring her patients understand their conditions and treatment options to make informed decisions about their health.

A native of southern New Hampshire, Kara pursued her nursing education at the University of Tampa and later earned her Master’s of Science in Nursing from Simmons University in Boston. She has extensive experience in both clinical and hospital settings, including her work as a Registered Nurse at Boston Children’s Hospital and Johns Hopkins All Children’s Hospital.

Kara's approach to patient care is rooted in empathy, clear communication, and staying current with the latest advancements in dermatology. She is dedicated to providing personalized care tailored to each patient's unique needs.

For expert dermatological care in the New Hampshire seacoast area, trust Kara Fiore, FNP-C, at Seacoast Dermatology.

Kara Fiore, FNP-C, is a dedicated Family Nurse Practitioner at Seacoast Dermatology, a Forefront Dermatology Practice, specializing in comprehensive dermatological care. She offers expert treatment for a variety of skin conditions, including skin cancer detection, acne treatment, eczema management, and more.

Kara's passion for dermatology stems from her commitment to improving patients' quality of life through effective skin care solutions. She emphasizes patient education, ensuring her patients understand their conditions and treatment options to make informed decisions about their health.

A native of southern New Hampshire, Kara pursued her nursing education at the University of Tampa and later earned her Master’s of Science in Nursing from Simmons University in Boston. She has extensive experience in both clinical and hospital settings, including her work as a Registered Nurse at Boston Children’s Hospital and Johns Hopkins All Children’s Hospital.

Kara's approach to patient care is rooted in empathy, clear communication, and staying current with the latest advancements in dermatology. She is dedicated to providing personalized care tailored to each patient's unique needs.

For expert dermatological care in the New Hampshire seacoast area, trust Kara Fiore, FNP-C, at Seacoast Dermatology.

Darin Franceschini, PA-C, is a board-certified physician assistant with dermatology training at Seacoast Dermatology, a Forefront Dermatology Practice. He sees patients from the Dover, Newmarket, and Portsmouth communities of New Hampshire, and beyond.

Darin was raised in Rochester, New Hampshire. He obtained his undergraduate degree in biology from the University of New Hampshire. Darin then received his masters in physician assistant studies from Wake Forest University in North Carolina.

Prior to joining the expert team at Seacoast Dermatology, PLLC, in 2014, Darin compassionately cared for patients in the Pediatric Critical Care Unit for three years at Elliot Hospital, New Hampshire’s Hospital for Children in Manchester. Darin is a fellow with the American Academy of Physician Assistants.

As an integral part of Seacoast Dermatology, a Forefront Dermatology Practice’s experienced team, Darin is an integral team member, working closely with our physicians to diagnose conditions and develop essential treatment plans for many skin conditions. He specializes in skin cancer detection, the treatment of inflammatory skin diseases, rashes, and common childhood skin conditions.

Nicole Schertell, ND, is a licensed naturopathic doctor and founder of Thrive Med Spa & Wellness in Portsmouth, New Hampshire. In 2009, Dr. Schertell opened Vibrant Health Medical Center, which is located in the same building directly above their spa. In collaboration, their two facilities can provide health and wellness services on a broad scale, teaching patients how to heal on the inside and shine on the outside. Dr. Schertell earned her bachelor’s degree from the University of New Hampshire and her doctorate degree from Southwest College of Naturopathic Medicine in Tempe, Arizona, in 2008.

Dr. Schertell is a member of the American Academy of Anti-Aging medicine and has extensive training and experience with regenerative therapies, including bioidentical hormones, peptide therapies, platelet-rich plasma (PRP) for facial rejuvenation and hair restoration, O-shots®,, IV therapy, laser hair removal, microneedling, hyaluronic acid fillers, and other natural-based aesthetic treatments. Together with their nurse practitioner, Alise Greenfield, they oversee and administer the medical aesthetic services featured at their spa.

Dr. Schertell uses innovative technology, such as state-of-the-art Cynosure Icon™ and TempSure® lasers. She also offers a transformational medical weight-loss program to help patients achieve a weight they feel confident in.

Dr. Schertell maintains her medical credentials with continuing education. She holds additional certification in peptide therapy, and she is a board-certified clinical thermographer (CCT) trained by the American College of Clinical Thermology. She is also a member of the International Lyme and Associated Disease Society (ILADS), as well as A4M.

She believes that prevention is the best medicine and takes a naturopathic approach in all her aesthetic treatments. Dr. Schertell and her team currently accept new patients and welcome them to Thrive Med Spa & Wellness.