The cover made me think this would be light-hearted and cute. It's not. Lots of angst. I wouldn't call them a toxic couple, because I don't think they are bad for each other, but I don't think they make a good couple. This is not my kind of book. At one point the main male character accuses the female main character of always wanting to be right. And it's true! She did. Not everyone wants to hear her opinion all the time. She needed to take a chill pill. She had all the answers for everything.
Also, I thought the treatment of Noelle was weird. These are modern times, her being in a wheelchair should not limit her like they were doing. She was capable of doing so much. I get his need to keep her safe, but I did not agree with what and how he did that. Plus, with the ADA, she would not have run into many issues while at college or out in the area.
I did not find the dialogue realistic most of the time. Most of it was predictable and obvious. Hmmm... I wonder how this NP will prove to this town that she fits in and cares?? We can all guess how. Also everyone had to have some trauma or tragedy. Perhaps that town is cursed.
I did like that they were honest with each other and didn't play around with what they had to say. I liked learning about what a nurse practitioner can do. I think that's it.