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URMC / Otolaryngology (ENT) / Our Team / Advanced Practice Providers

Advanced Practice Providers

The advanced practice providers at the University of Rochester Medical Center Department of Otolaryngology are highly skilled health care professionals who are certified and state licensed to practice medicine with the supervision of a physician. Our Nurse Practitioners (NP) and Physician’s Assistant (PA) have been specifically trained by Board Certified and Fellowship-trained Physicians in the diagnosis and treatment of all ear, nose and throat diseases, and work hand in hand with our specialists to provide excellent care. They are creative, compassionate and uniquely placed to deliver preventive care through education and extend the care that our doctors provide by alleviating some of the routine work for physicians such as physical examination, diagnostic testing, prescribing medications and non-surgical treatment of diseases.

Keri ComerfordKeri L. Comerford, MS, RN, FNP-C, CORLN

Keri is a graduate of the St. John Fisher College School of Nursing, where she earned both her B.S. in Nursing and M.S. in Family Nurse Practitioner degrees. Previously, she worked for 8 years as a nurse at Strong Memorial Hospital caring for high risk obstetric and gynecologic patients.  Keri joined our team in 2011.  She has seen a variety of patients at our Clinton Woods location, as well as the Wilmot Cancer Institute location.  Keri is currently caring for patients in our Clinton Woods office.  She is a Certified Otorhinolaryngology and Head-Neck Nurse.


Lauren CramerLauren A. Cramer, PA-C

Lauren is a graduate of SUNY Cortland College where she earned her B.S. in Kinesiology, Exercise Science and is also a graduate of Daemen College where she earned her M.S. in Physician Assistant Studies. She has worked as a PA-C in an Allergy, Immunology and Asthma office, prior to joining URMC. Lauren now works in the Otolaryngology department at our Clinton Woods Location.


DidasAmanda E. Didas, PA-C

Amanda is a graduate of Massachusetts College of Pharmacy and Health Sciences where she earned both her B.S. and M.S. in Physician Assistant Studies. Amanda brings with her 10 years of experience working in the Otolaryngology department at Boston Children’s Hospital.  Amanda now works the pediatric division of our Otolaryngology department seeing a variety of ear, nose and throat disorders. 


Laine DiNoto​Laine DiNoto, MS, RN, PNP-C

Laine received her BS in Biology from the University at Albany and her BSN from Binghamton University. After being a pediatric staff nurse at Golisano Children’s Hospital, she went on to pursue her MS degree. She graduated from University of Rochester School of Nursing with her Pediatric Nurse Practitioner degree in 2014. She has prior experience as a pediatric primary care provider in the greater Rochester community and is part of our pediatric otolaryngology team.



DoucetteJacqueline M. Doucette, MS, RN, FNP-C

Jacqui earned her Bachelor’s degree in Nursing at the University of Massachusetts, College of Health Professions and her Master’s degree in Advanced Nursing Practice at St. John Fisher College, Wegmans School of Nursing. She worked for many years in pediatrics at Golisano Children’s Hospital before joining our department in 2009 as a nurse. After obtaining her Master’s degree in 2015, she transitioned into her current role as a Family Nurse Practitioner. Jacqui cares for a variety of patients in Otolaryngology and the Facial Plastics department at our Clinton Woods location.



HaralambidesKristina C. Haralambides, MS, RN, FNP-C

Kristina is a graduate of St. John Fisher College School of Nursing, where she earned both her B.S. in Nursing and M.S. in Family Nurse Practitioner degrees. She joined our team in 2015 and works out of our Clinton Woods Location. She sees a variety of patients but works primarily with Dr. Chase Miller with a focus on rhinology and allergy. Prior to coming to University Otolaryngology she worked in a Family Practice Setting. As a RN she had a variety of roles including psychiatry, internal medicine and urgent care medicine.


KarlsenJacqueline E. Karlsen, RNFA, FNP-C

Jackie is a graduate of the Nurse Practitioner program at Community General Hospital in Syracuse, where she received a Family Nurse Practitioner Certificate . She received her Registered Nurse First Assistant degree from the University of Rochester School of Nursing. Jackie has 17 years of experience working in general surgery at Finger Lakes Health. She has also worked in urology, as a hospitalist, and currently works per diem at an Urgent Care Center.  Jackie has worked in ENT for almost 3 years, and joined the URMC Otolaryngology practice in 2015. She see’s patients in the Geneva Office. She treats general ENT problems, and specializes in the diagnosis and treatment of sleep apnea.


Mary RiversMary C. Rivers, MS, RN, FNP-C

Mary received B.S. in Nursing from Alfred University at St. John Fisher College. She then received M.S.N in Family Health and Nurse Practitioner degree from URMC School of Nursing. Upon graduation, she worked as a Nurse Practitioner in the Preoperative Center. For the past 17 years, she has worked in Otolaryngology at Clinton Woods location caring for variety of patients and specializing in Otology. Previously, she worked as an RN at Strong in the Burn Unit and the Strong Surgical Center and has been a Strong employee for over 35 years.


Tarek SialaTarek M. Siala, PA-C

Tarek received his B.S. degree from Oregon State University. He completed the Physician Assistant Program at Western Michigan University in 2009. Tarek brings two years of experience as a Physician’s Assistant from Ear, Nose and Throat Consultants in Woburn, MA . He works in the Clinton Woods office with the primary responsibility of seeing patients in the otolaryngology urgent care center since 2012.