For more than 35 years, she has practiced pulmonary and critical care medicine with a concentration in occupational and environmental respiratory disease. Her clinical expertise includes COPD, pulmonary fibrosis, pneumonia, bronchiectasis, pulmonary hypertension, pleural disease, hypoxemia, sarcoidosis, and respiratory illnesses associated with agricultural and industrial exposures. She is board certified in internal medicine, pulmonary medicine, and critical care medicine and has more than 30 years of experience providing expert witness services in matters involving occupational lung disease, respiratory injury, environmental exposure, and pulmonary-related disability claims.

In addition to her clinical work, she serves in academic medicine as a professor within pulmonary and critical care medicine and public health. Her professional background includes leadership roles in occupational medicine, respiratory care, and sleep medicine, along with ongoing involvement in independent medical examinations and chart reviews for workers’ compensation and Veterans Administration cases involving occupational respiratory disease. She has evaluated pulmonary conditions associated with grain dust, endotoxins, mold exposure, swine confinement facilities, and other airborne workplace hazards affecting respiratory health.

Her research and publication history has focused extensively on agricultural medicine and environmental pulmonary disease, including studies involving airway inflammation, organic dust toxic syndrome, pulmonary function impairment, occupational asthma, and respiratory illness in farming populations. She has participated in federally funded research initiatives, authored numerous peer-reviewed publications, and delivered invited lectures on occupational lung disease, agricultural respiratory hazards, and pulmonary health related to industrial and environmental exposures.