Ziad Rifai, MD

Dr. Rifai completed his B.S. and M.D. at the American University of Beirut in Lebanon. He completed 3 years of internal medicine residency — 2 at the University of Beirut and his final year at St. Agnes Hospital in Baltimore, MD. He completed his neurology residency and neuromuscular fellowship at the University of Rochester.

Dr. Rifai is board certified in neurology and is a member of the American Academy of Neurology and the American Medical Association.

Breanne Pulver

Practice Manager

Breanne is a dedicated Practice Manager and busy mom of three daughters who skillfully balances career, family, and the fast pace of everyday life. She takes considerable pride in keeping both her workplace and home running smoothly. Managing a demanding career while raising a family has strengthened her ability to thrive in fast-paced environments and confidently multitask. Breanne's strong commitment to organization, teamwork, and patient-centered care helps ensure the practice runs efficiently and seamlessly each day.

Emily Butcher

Front Office Associate

Emily thrives managing the day-to-day responsibilities as the Front Office Associate. Her ability to work in a fast-paced medical environment, keep the schedule on track, patients informed, and the office running smoothly — combined with her enthusiastic sense of humor — makes her an essential part of the practice's success.

Outside of work, Emily is a proud dog mom to three pups who keep her on her toes with daily walks, playtime, and the occasional chaos they bring to her home. Her puppy stories always bring a little extra levity to the office.