I first met Michelle after being bounced from one FNP to another. I was beginning to think I was the red headed stepchild. Right away I knew I was with a different situation. Michelle is the epitome of what you hope for in a medical expert ; knowledgeable, professional, caring and a problem solver. I have had 3 appointments with her since that first appointment and am hoping for no more change. PISA is a main ingredient in helping to control the pain I have in more than one area and frankly helps me to experience some sort of semblance of a normal life. Thank you Michelle and also Dr. Cubillo.