Health Center Staff


Joann Buonomano, MD, FAAFP, CPE

Family Physician, Associate Chief Medical Officer

Education – Boston University School of Medicine
Residency – Family Medicine: Duke-FAHEC, Fayetteville, NC
Certification – American Board of Family Medicine
Fellowship – American Academy of Family Physicians
Certified Physician Executive – Certifying Commission of Medical Management

M. Eden Beams, MD

Family Physician

Education – Thomas Jefferson University, Philadelphia
Residency – Christiana Care Health System, Wilmington
Certification – American Board of Family Medicine

Kasra Djalayer, MD


Education – Complutense University of Madrid, Spain (MD); Stanford University (mini fellowship, Geriatric Medicine); McGill University (mini MBA); University of South Wales, UK (postgraduate sub-specialty diploma in rheumatology and clinical immunology); Harvard University (sub-specialty in obesity medicine)
Residency – Yale-Griffin Prevention Research Center, Connecticut
Fellowship – University of Vermont (rheumatology and clinical immunology)
Certifications – American Board of Internal Medicine, American Board of Obesity Medicine

David R. Gagnon, MD

Family Physician

Education – Brown University School of Medicine
Residency – University of Massachusetts, Fitchburg
Certifications – American Board of Family Medicine, National Board of Medical Examiners, AAAP-MAT Training

Kimberly Chase O’Mahoney

Family Nurse Practitioner

Education – University of Southern Maine
Board Certification – American Association of Nurse Practitioners

Monica Lord, FNP, MBA

Family Nurse Practitioner

Education – Sacred Heart University
Board Certification – American Association of Nurse Practitioners

Margot Kingston

Women’s Health/Adult Nurse Practitioner

Education – MGH Institute of Health Professions
Board Certifications – American Nurses Credentialing Center, National Certification Center, North American Menopause Society

Harbour Women’s Health


Five doctors from Harbour Women’s Health come to Families First to provide prenatal care for our patients and deliver their babies at Portsmouth Regional Hospital. They are: Emily Amarosa, MD; Saroj Fleming, MD; Heidi Keup, MD; Sonja Nelson, MD; and Caroline Scoones, MD. Dr. Scoones also serves as Medical Consultant to the Families First prenatal team.


Karen L. Frarie, LICSW, MLADC

Director of Behavioral Health Services

Elizabeth Lynch, PMHNP-BC

Psychiatric Mental Health Nurse Practitioner

Education – New York University (M.S., Psychiatric Mental Health Nurse Practitioner)
Board Certification – American Nurses Credentialing Center
Team Members: Charrese M., medical assistant

Benjamin Goldrich, MLADC, MSW

Behavioral Health Specialist

Education – University of Pittsburgh School of Social Work
License – Master Licensed Alcohol and Drug Counselor

Mimi Hallowell, MSW

Behavioral Health Specialist

Education – University of New Hampshire

Krista Vincent, MSW

Behavioral Health Specialist

Education – University of New Hampshire

Sharon Dubois-Carney, RDN, CLC, LDN


Education – University of Rhode Island, (B.S., nutrition dietetics)
Internship – Oregon Health Sciences University/Veterans Medical Affairs Dietetic Internship
Licenses  Academy of Nutrition Dietetics (Registered Dietitian), NH Board of Licensed Dietitians (Licensed Dietitian)
Certifications – Certified Lactation Counselor, Academy of Lactation Policy and Practice; Certificate of Training in Child and Adolescent Weight Management, Academy of Nutrition and Dietetics