A member of our Neurology team, Maria Gonzales, FNP-C, is a nurse practitioner who works closely with neurologists and other clinical staff to assess, diagnose and treat patients with neurological conditions such as stroke, epilepsy, multiple sclerosis, Alzheimer’s disease and chronic headache. Born and reared in the Philippines, she earned her Bachelor of Science in Nursing before emigrating to the United States in 2005. She practiced 17 years in healthcare settings in New York. In 2017 she joined Trinity Health, where she cared for patients in the Emergency/Trauma Center before completing her Master of Science degree in Advanced Nurse Practice from Walden University, Minneapolis. Maria is certified by the American Academy of Nurse Practitioners. She enjoys traveling when she’s not taking care of patients.
Jason Coombs, DO
A physiatrist specializing in Physical Medicine and Rehabilitation (PM&R), Jason Coombs, DO, helps patients restore loss of mobility and function due to injury or disease and serves as medical director of our inpatient rehabilitation unit, RehabCare. Dr. Coombs provides both inpatient and outpatient care to people dealing with a variety of conditions such as stroke, brain/spinal cord injury, cerebral palsy, and orthopedic trauma. He also provides musculoskeletal examinations and diagnosis using EMG and other techniques. Formerly of Grand Rapids, Michigan, Dr. Coombs earned his Doctor of Osteopathic Medicine from Touro University California and completed his PM&R residency at Mary Free Bed Rehabilitation Hospital in Grand Rapids. His experience includes medical service across three different continents as part of the U.S. Air Force and Air National Guard. A member of the American Academy of Physical Medicine and Rehabilitation, Dr. Coombs and his family enjoy sports, outdoor activities, and travel. He’s been active in community service, including a 20-year involvement with the Boy Scouts of America and coaching youth sports teams.
Rym Lamrad, MD
Dr. Lamrad specializes in Palliative and Hospital Medicine, with a focus on the healthcare needs of hospital patients and the medical needs of people with serious or life-limiting illnesses. As a palliative specialist, she works with patients, families, and the patient’s care team to optimize quality of life for those who suffer from chronic, debilitating, or life-threatening conditions. She earned her medical doctorate from Saba University School of Medicine, the Netherlands-Antilles, and completed both her Internal Medicine residency and fellowship in Hospice and Palliative Medicine at State University of New York at Buffalo.
Mary Sadler, FNP-C
A nurse practitioner in Trinity’s Neurology Department, Mary Sadler, FNP-C, works closely with neurologists and other clinical staff to assess, diagnose and treat patients with neurological illnesses and injuries. She earned her Bachelor of Science in Nursing in 1998 from Minot State University and practiced 10 years with Trinity Health in the Rehabilitation, Ortho/Neuro and Emergency/Trauma departments. In 2010 she received her Master of Science/Family Nurse Practitioner degree from the University of Mary in Bismarck. Since then she has served patients in family practice and emergency settings, most recently serving as an Occupational Health/Family Practice nurse practitioner with Sanford Health. She’s a member of the American Academy of Nurse Practitioners, the North Dakota Nurse Practitioners Association, the American Academy of Neurology and the American College of Occupational and Environmental Medicine.
Rosina Medel, MD
Rosina Medel, MD, is a neurologist board certified by the American Board of Psychiatry and Neurology. Dr. Medel provides specialized care for patients dealing with the full spectrum of neurological disorders affecting the brain, nervous system, peripheral nerves and muscles. She received her early medical training in the Philippines, earning a nursing degree and later a medical doctorate from the University of Perpetual Help System. She migrated to the United States, where she completed a preliminary residency in Internal Medicine at Nassau University Medical Center, East Meadow, NY. She fulfilled her Neurology residency and performed a fellowship in Clinical Neurophysiology at JFK Medical Center in Edison, NJ, where she served as chief resident her final year and earned numerous awards for academic and clinical excellence. Dr. Medel is a member of the American Academy of Neurology.
Kristy Leier, FNP-C
A North Dakota native, Kristy Leier, FNP-C, received both her Bachelor of Science in Nursing and Master of Science in Family Nurse Practice from the University of Mary, Bismarck. She practiced in Trinity’s Emergency Department for 12 years as an RN, and upon completing her nurse practitioner training served several years as a provider in emergency, occupational, family and palliative medicine settings. She’s a member of the American Association of Nurse Practitioners, the North Dakota Nurse Practitioners Association, and American Academy of Hospice and Palliative Medicine.
Ann Hoff, MD
Ann M. Hoff, MD, specializes in Palliative Medicine, a program of specialized medical care for people with serious and life-limiting illnesses. As a physician fellowship trained and board certified in Hospice and Palliative Medicine, she leads a team of physicians, nurse practitioners, nurses, social workers and other specialists, who work with the patient’s other doctors to focus on providing relief from the stress and symptoms associated with the serious or life-limiting illness. The primary aim of Palliative Medicine is to improve quality of life for patients and their families. A Bismarck native, Dr. Hoff received her medical degree from the University of North Dakota School of Medicine and Health Sciences and completed an Emergency Medicine residency at the Mayo School of Graduate Medical Education in Rochester. She was a member of Trinity’s Emergency/Trauma team for six years before leaving in 2015 to complete her palliative fellowship at the University of Minnesota. She’s a member of the American Academy of Hospice and Palliative Medicine and the American College of Emergency Physicians.