Julie is a certified nurse-midwife and public health practitioner with a focus on improving the quality of maternal health care. The majority of her clinical work occurred in community-based sites around NH with a focus on perinatal Substance Use Disorder. Her research and implementation background focuses on leading program and system change initiatives through community engagement to create patient centered improvements. She is the Executive Director of the Northern New England Perinatal Quality Improvement Network (NNEPQIN) and the newly launched New Hampshire Perinatal Quality Collaborative (NHPQC), both housed at Dartmouth Health. She lives in Conway NH where she enjoys the lakes and mountains with her family and black lab.