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I am MBSR (Mindfulness Base Stress Reduction) certified, and a Board-certified pediatrician, with a passion for promoting well-being and mental health.

When not working with patients, I love to travel with my family and explore new cultures. I enjoy going to musical theater a passion I share with my kids. I also enjoy reading and attending book club with friends, where I can engage in lively discussion about literature and life.

My ultimate goal is to provide the best care possible to patients as they navigate through each developmental stage. I believe in being there for patients and their families during the process, offering support and guidance every step of the way.

 Provider is LGBTQIA+ Responsive

I grew up in Clear Lake myself, so I was very excited to become a part of this UTMB Clear Lake family. I attended the University of Houston – Main Campus for my bachelor’s degree, and I completed my medical training (medical school and my pediatric residency) in the large Texas Medical Center in Houston. In 2023, I moved back to Clear Lake so that I could give back to this wonderful community.

I have a wonderful husband, and we are lucky to have both our families and fur-siblings in the area. My hobbies include playing tennis (when it’s not too hot outside), playing the piano, and spending quality time with family and friends.

Pediatrics has been my calling since high school. I am blessed to have the opportunity to be able to educate and comfort patients and their family members in some of their most stressful times. I love that I get to watch these children grow from newborns into wonderful young adults and help them along the way.

Being a growing child (or even raising one) isn’t easy! Every patient brings their own story, challenges, and personality, and each of them has something to teach me. I just strive to be a positive light during their journeys and work to keep my patients safe, healthy, and happy.

Erika Schulze was born and raised in the Midwest in Illinois 30 minutes outside of St. Louis, MO. She completed her academic training at Goldfarb School of Nursing in St. Louis, MO. Her experience spans 16 years, which included working at Barnes Hospital as staff nurse on general medicine floor for 8 years; Pulmonary and Critical Care research at Washington University in St. Louis, MO. In 2003, Erika was accepted into graduate school at Goldfarb School of Nursing and completed Master of Science degree in Nursing with focus as an Adult Nurse Practitioner. This program was two and half years of additional medical assessment and decision training including diagnostic testing. Since completing Graduate School, she has worked in the primary care setting. She moved to Texas and started working at UTMB in January 2013.

During her time off, she enjoys her home, gardening, and time with her family and friends. She is passionate about animal welfare charities and animal fostering programs. Erika is also very passionate about the mental health of the community. She chairs a weekly support group, Nar Anon, for family and friends of those suffering from addiction.

Dr. Natalie Royer is an Assistant Professor in the division of Pediatric Urgent Care at the University of Texas Medical Branch. She earned her Bachelor of Science from Texas Lutheran University. She obtained her Doctor of Osteopathic Medicine from the University of North Texas, Texas College of Osteopathic Medicine and completed her pediatric residency training at The University of Texas Medical Branch.

Dr. Royer joined the University of Texas Medical Branch as faculty in 2018 and is board certified by the American Board of Pediatrics.

Dr. Karl Crudo is board certified in Family Medicine by the American Board of Family Medicine. He completed his residency at the Western Pennsylvania Hospital - Forbes Campus in Pittsburgh, Pa., and received his medical degree from the University of Santo Tomas, Philippines.

Dr. Kyralessa B. Ramirez joined the UTMB League City Pediatric and Adult Primary Care clinic in January 2012.  Prior to joining UTMB, she worked for 2 years in South Houston at a pediatric private practice.

Dr. Ramirez received her medical degree, Magna Cum Laude, from Instituto Tecnologico de Santo Domingo.  She attended the University of Texas Medical Branch, Galveston where she completed her pediatric residency in 2009.

Dr. Ramirez's clinical interests include the prevention and treatment of common pediatrics illnesses, specifically ear infections. She is interested in the treatment of eczema as well as other common skin disorders, preventive pediatrics and anticipatory guidance.  She enjoys helping new parents with their newborn babies, counseling them about breastfeeding and infant safety. Dr. Ramirez is fluent in English and Spanish.  She is married to Dr. Rafael A. Fonseca, a faculty member in the Department of Neonatology at UTMB, Galveston.  She enjoys taking care of a diverse population of patients.

Dr. O'Donohoe grew up in Galveston, TX and graduated from Rice University with a degree in Civil Engineering. She subsequently attended medical school at UTMB and continued on at UTMB for her Pediatric Residency which she completed in 2017.

She specializes in general outpatient pediatrics, mostly seeing patients at the Island Pediatric West clinic location. She also works with patients that have recently been placed in foster care, transitioning them into the UTMB system and getting their specialized needs met.

 Provider is LGBTQIA+ Responsive

Dr. Mohammad Fouad Azim is a Board-Certified Pediatrician (2010). He completed his Pediatrics Residency at the University of Texas Medical Branch in Galveston where he was also a student during his 4th year of Medical School.

He adores children and considers himself both fortunate and blessed to take care of the youngest Texans. A parent himself, he understands the importance of addressing parental concerns about all aspects of their child's health.

Dr. Azim comes from a family of over thirty physicians and in his free time he enjoys photography and writing. He is a published author of a well-received coming of age novel for teens and young adults.

Dr. Ann Jimerson is an Assistant Professor of Pediatrics. She received her BA from The University of Texas at Austin. She then completed MD at Texas Tech Health Science Center in Lubbock, TX and her Pediatric residency at Indiana University Medical Center in Indianapolis, Indiana.

Dr. Jimerson specializes in General Pediatrics, with a special interest in adolescent medicine and asthma.

Before joining UTMB in 2014, Dr. Jimerson was an Associate Professor of Pediatrics at Indiana University Medical Group in Indianapolis, Indiana.

Dr. Jimerson is board certified by the American Board of Pediatrics.