Associate nurse Children's Hospital Philadelphia, 1979-1980, primary surgical nurse, 1980-1982, clinical nurse specialist in pediatrics otorhinolaryngology, 1983-1986, Pediatric Nurse Practitioner in otorhinolaryngology, since 1986. Member National Certified Board of Otorhinolaryngology, Head and Neck Nurses, 1991-1997. Clinical preceptor School Nursing, University Pennsylvania, 1992-2000.
Presenter Neonatal Nursing Conference, Boston, 1988, National Nurse Practitioner Debate, Baltimore, 1992, University Pennsylvania, 1993, various professional association conferences.
Member National Association Pediatrics Nurse Associates and Practitioners, Society Ear, Nose and Throat Advances in Children (member committee on committees 1993-1995, member liaison committee 1993-1995, secretary 1999-2002), Society Otorhinolaryngology and Head and Neck Nurses (co-chairperson education committee 1993-1995, vice president since 1999, president-elect 2001-2002, president since 2002), Pennsylvania Academy Otorhinolaryngology, Sigma Theta Tau.