Carina is a Certified Nurse-Midwife with over 20 years of experience providing women's health care. She received her BSN and MS from Columbia University School of Nursing. Carina provides gynecologic care from adolescence through beyond menopause. She is a member of the American College of Nurse-Midwives, the American Society for Colposcopy and Cervical Pathology, the North American Menopause Society and the International Society for the Study of Women’s Sexual Health, where she has served on the Membership Committee and the Practice Pearls Committee. Carina currently holds adjunct faculty positions at Georgetown University School of Nursing and Health Studies, and at Washington Adventist University.