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She spent another year at Good Samaritan while completing a faculty development fellowship and serving as junior faculty. She then moved on to the Hopi Health Care Center where she practiced full spectrum family medicine, including outpatient clinic, emergency, hospital, and obstetrical care. She then served as clinical lead in the Show Low, AZ, office of North Country HealthCare, a federally qualified health center. While there, she was able to continue to be involved in obstetrical medicine while maintaining a full time outpatient practice. She is involved with organized medicine at both the state and national level and served as President of the Arizona Academy of Family Physicians.