Clinical Faculty at Frontier Nursing University with expertise in Rapid Cycle Quality improvement. I am a CNM for 23 years and an FNP for 11 years. Working with Native American women and families. Eleven of the last 23 years have been spent on the direction of multidisciplinary teams working for quality improvement within the Indian Health Service. In addition to continuing full scope midwifery and FNP care, I am clinical faculty with Frontier Nursing University guiding DNP students through Rapid Cycle Quality Improvement.