I am a floor RN so I see /talk to all kinds of doctors and specialist all day and been with Marleena for years. I even followed her when she left the previous practice. Yes she is a PA BUT what people need to realize is that this a a family practice. Just because your an MD DOES NOT mean you will always know what's wrong with the patient. That's why we run tests, and give referrers to SPECIALISTS that SPECIALIZE in certain areas of the human body. So to the negative reviewers out there don't diss on Marleena . She's a nice lady that LISTENS to the patient and then gives HER medical opinion. Which is all any good MD can do. If you don't agree with her medical opinion you can always seek out someone elses. I love her and would recommend her to ANY OF my friends and family. As for the front desk staff...let's just say I miss the practice she was at BUT she is worth it. Also I have encountered WAY worse in Las Vegas... they are not bad. However I have called three times today and the recording keeps telling me to call during regular business hours...wonder what's going on!