Born in Germany, Dr. Primomo obtained her medical degree at Loyola University in Chicago. It was at Loyola that she met and married her classmate, Dr. John Primomo. In 1978, she became medical director of San Antonio's first hospice at St. Benedict's facility. Today over 1,000 patients a day are served by San Antonio's 28 hospices, 5 of which named Dr. Primomo as their medical director.