Our Staff

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Advanced Women's Health's experienced, all-female staff is led by board-certified nurse practitioners with advanced education and training in assessing, diagnosing and treating acute and chronic medical conditions. They will help make your visit to Advanced Women's Health a relaxing and enjoyable experience. We look forward to providing the citizens of Gig Harbor, Tacoma and surrounding Puget Sound areas with the individualized and all-encompassing health care they deserve.

Lydia Miller, ARNP Family Practice / Primary Care

Lydia has been working in healthcare since 2000 when she became a licensed midwife. She enjoyed helping new families throughout the childbearing year. Wanting to expand her scope of practice, she decided to return to school, attending Pacific Lutheran University's Nurse Practitioner program. She became Board Certified in Family Practice in 2007 and has since worked in a variety of areas, including Family Practice, Emergency Care and Walk-in Clinic services.

As a partner in patient care, Lydia values an open, respectful and nonjudgmental relationship and looks forward to working with the patients at Advanced Women's Health to achieve their health goals. She believes in the connection of mind, body and spirit, understands the importance of a healthy lifestyle to promote well-being and con... Read More


Carmela Perez, MSN, ARNP Family Practice / Primary Care

Carmela has worked in the medical field since 2007. Her career thus far has ranged from work within medical and surgical units in Las Vegas to ensuring the safety and education of patients in a local gastroenterology clinic.

By attaining her Family Nurse Practitioner degree from University of South Alabama, Carmela feels she has an increased opportunity to help her community by promoting health and wellness and alleviating patient suffering associated with ailment.

Carmela is excited to join Advanced Women's Health. Her goal is to treat every patient with respect while working to improve their quality of life. She individualizes patient care to encourage holistic health that encompasses physical, emotional and spiritual well-being.

Outside of her career, Carmela is a wife and mot... Read More


Krysta Paciocco, ARNP Family Practice Provider

Krysta’s career in medicine began in 2007 in Detroit where she worked as a nurse in one of the busiest emergency and trauma centers in the state for over 6 years. She transitioned to Washington state in 2014 where she continued her nursing career specializing in gastroenterology. After completing her degree as a Family Nurse Practitioner with South University, Krysta proudly joins the Advanced Women’s Health team.

As a nurse practitioner, Krysta has a passion for women’s health, pediatric and adolescent care and values caring for families as a whole. She has special interest in promoting overall wellness through illness prevention and strives to establish an open, trusting relationship with her patients. She practices with a holistic and collaborative approach to patient care.

Outsid... Read More


Darla Smedley, MSN ARNP, Women's Health

Darla has been a registered nurse since 1979. She attended the University of Washington Nursing School and received her Master's Degree in Nursing from Pacific Lutheran University. She became Board Certified as a Women's Health Nurse Practitioner in 1998.

Darla's professional experience includes all aspects of adolescent and female health care. With 20 years experience in inpatient labor and delivery, mother-newborn and gynecologic surgery, Darla brings a special compassion and knowledge base to her patients. Her professional interests include adolescent health, menopausal midlife changes, and preventative care throughout the life span of women.

Darla strives to assure that each patient's individual needs are addressed and expectations are met.

Darla enjoys spending time with her ... Read More


Michelle Dosa, MSN ARNP - Women's Health

Michelle has been a registered nurse since 1991. She graduated from the University of Washington School of nursing, and gained valuable experience in pediatrics, high-risk labor and delivery, mother-newborn care and gynecologic surgery prior to pursuing a new career path more suitable to her family life.

With a desire to provide compassionate care for women throughout the lifespan, Michelle pursued her master's degree in nursing from Pacific Lutheran University and became board certified as a women's health nurse practitioner in 1998. Her professional interests include adolescent health promotion, infertility and menopausal mid-life changes. Michelle takes pride in the Company's unique approach to Women's Healthcare.

Outside of practicing medicine, Michelle enjoys a second career in ... Read More


Melissa Horton - EAMP Acupuncturist & East Asian Medicine Practitioner, NCCAOM

Acupuncture & East Asian Medicine

Melissa’s interest in acupuncture started while in Japan, after receiving treatment for a sports injury. Inspired by the incredible benefits toward pain relief and accelerated recovery, she went on to become the first Westerner to obtain a degree in Acupuncture & Moxibustion from Morinomiya College of Medical Arts & Science in Osaka, Japan. She is also the first non-Asian to sit for and pass the National Licensure Board in Japan. Melissa then treated patients in the university clinic as a Medical Resident-equivalent while assisting in the school’s research department. Returning to the United States, Melissa completed a Master’s degree in Oriental Medicine en route to her NCCAOM Board Certification

Melissa’s primary specialti... Read More


Kathy Nussbaum, Family Psychiatric Mental Health ARNP

Kathy has worked in health care since 1983 in a variety of settings including end of life care, bereavement, and adolescent/adult mental health. Her interest is in listening as well as teaching skills to alleviate the pain of grief, depression, anxiety, trauma, insomnia, etc.. She became a licensed Family Psychiatric Mental Health Nurse Practitioner in 2012 so she can prescribe psychiatric medications if needed. She enjoys working together with a medical team to provide holistic support for her patients. Those who know Kathy say she is warm, friendly, and easy to talk with.

Outside of work Kathy loves traveling, working with wood, outdoor adventuring, making new friends, and she is excited about learning to grow fruit trees since she has lived in Alaska for the past 21 years where gro... Read More

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