i have been a ptinet for 15 years.The appointment gets changed several times over the course of months. one time it was 16 times over 9 months,usually within an hour of the appointment. The office staff says she is not in the office most days.She is nice and caring. The 4 hour waiting room time is too much . One time I was the only one in the waiting room and had to wait 3 hours to see the doctor.The office decor is 15 years old , but looks nice-you are looking at it for 3-4hours.She has loyal employees.The office has no computers and takes no credit cards.you only get your bloodpressure taken for the visit.