Previously, she served as the Assistant Medical Director at Planned Parenthood of New Mexico for over 19 years. She also has served on many professional and community action boards and has been an officer on the Board of Directors of the Guttmacher Institute, National Association of Nurse Practitioners in Women's Health (NPWH), National Family Planning and Reproductive Health Association (NFPRHA), Association of Reproductive Health Professionals (ARHP) and Reproductive Health Technologies Project (RHTP). She is also on the Editorial Advisory Board of Contraceptive Technology Update as well as the Editorial Board for the American Journal for Nurse Practitioners.