Sa Rah, FNP

MSN, FNP-C
Kilauea HI
I believe healing begins with being truly seen and heard. When we work together, I take time to understand not only your symptoms, but your story, your health history, lifestyle, nervous system, relationships, environment, and the factors that have shaped your well-being. Rather than chasing isolated symptoms, we look for patterns and address the root causes whenever possible. My approach integrates evidence-based medicine with lifestyle medicine, nervous system regulation, and therapeutic ketamine when appropriate. Medications can be life-changing, and so can nutrition, movement, sleep, stress reduction, meaningful connection, and restoring the body's natural capacity to heal. I see my role as a guide, educator, and medical partner. Together, we'll create a personalized plan that aligns with your goals, values, and stage of life, whether you're seeking relief from depression or anxiety, recovering from burnout or trauma, managing chronic illness, or optimizing your long-term health.
Board-Certified Family Nurse Practitioner | Founder of Integration Health | Integrative Primary Care & Therapeutic Ketamine Sa Ráh (pronounced like "que sera sera") is a Board-Certified Family Nurse Practitioner and the founder of Integration Health in Kauai, Hawaii. With nearly three decades in medicine, she combines evidence-based primary care with therapeutic ketamine, nervous system regulation, lifestyle medicine, and longevity-focused care. Her clinical background spans critical care, cardiology, integrative medicine, and ketamine therapy. Rather than viewing conventional and integrative medicine as opposing approaches, Sa Ráh believes the best care often comes from combining both.
Therapeutic Ketamine (IV, IM, SQ) Spravato Integrative Primary Care IV Nutrient Therapy & NAD+ Longevity & Metabolic Health Concierge Medicine In addition to therapeutic ketamine, I provide integrative primary care and currently accept most major Hawaii insurance plans for primary care services. Spravato® treatment may also be covered by insurance for eligible patients. If you're unsure which option is right for you, I encourage you to reach out for a consultation so we can explore the best path forward together.