staff login
Find us on Facebook
Follow uses on Twitter

Dr. Debra Ravasia, MD, FACOG, Board Certified
Dr. Ravasia is founder and medical director of Ajuva Medical Spa. She is an obstetrician/gynecologist who has had nineteen years of experience in women's health. Dr. Ravasia started Women's Health Connection, PS, a comprehensive traditional gynecology clinic here in Spokane in 2005, and extended her practice to include Ajuva Medical Spa, a wellness clinic that includes medical aesthetics, weight loss, nutrition and hormone optimization, in 2006.

Dr. Ravasia completed medical school in Saskatchewan, Canada, and completed her obstetrics and gynecology residency at the Foothills Hospital, University of Calgary in 2000. She is board certified in Obstetrics and Gynecology in both the USA and Canada. This means she has completed examinations necessary to provide a high standard of care within her field. She worked in North Dakota as a busy general OB/Gyn before moving to Spokane with her husband and four children to be closer to family, mountains, and a great school for her children.

Dr. Ravasia has received additional comprehensive training and certifications in medical aesthetics, weight loss and menopausal management. She is a fellow of the American College of Obstetricians and Gynecologists, and or the Royal College of Physicians and Surgeons of Canada. She is also a certified member of the American Society of Bariatric Physicians, and or the National American Menopause Society. She is passionate about delivering comprehensive and integrated health and wellness care to women here in Spokane, WA.

Our Medical Aesthetics Staff:


Shelley Levin, RN

Shelley is our aesthetic RN specializing in facial rejuvenation by utilizing her advanced techniques in dermal fillers and Botox. Shelley also specializes in Fraxel, Laser and Thermage treatments. Shelley attended Washington State University ,SCC, and ICNE to receive her nursing degree, and has many years of aesthetic injecting experience. She goes to great lengths to make sure that all her patients achieve their skin care goals, while making them feel relaxed and comfortable. Patients come in from all over the Inland Northwest to receive treatments from Shelley.

Shelley is also on staff at Deaconess as an ortho neuro medical surgery RN. In Shelley’s free time you will find her running outdoors, skiing, and floating the river . She also loves spending time with her husband, two children, and their animals.


Kaela Smith, Licensed Medical Aesthetician

one of our Aestheticians, recently moved to Spokane in November 2008 from Billings, Montana, where she received her Aesthetics license. While in Billings, she had the opportunity to work for a year as an Aesthetician, at one of the top spas in the state. She attended MSUB and U of M for four years, where she studied biology and chemistry.

Keala loves spending time with her family and friends. She also enjoys traveling, and the outdoors. She is glad to have found her passion in Aesthetics, and looks forward to getting back to doing what she love!

Our Registered Dietitians:


Kristine Schmedding, RD, B.S. ExMet
A registered dietitian who earned her Bachelor's of Science degree in Exercise Physiology and Metabolism through W.S.U.

She has been with Ajuva Medical Weight Loss since the program started in July 2008. Prior to that she worked in Cardiac Rehab and spent a year of rotations in various healthcare settings including Surgical Bariatrics and working with low calorie programs.

She loves living in Spokane spending time with her husband, family and going to Priest Lake.


Kelli Groth, RD

Kelli Groth, a Registered Dietitian and California native, recently moved to Spokane with her growing family. She studied Exercise Sports Science at Concordia University of Irvine before completing her degree of Nutrition and Food Science at California State University, San Bernadino. Prior to working at Ajuva, she worked in a private fitness studio, and as a consultant specializing in menu planning. In her free time, Kelli enjoys spending time with her husband and son, watching basketball, and playing soccer.