She has an extensive background in both hospital and ambulatory healthcare settings across New England and has been with the Kaiser Permanente Medical Care Program in a variety of capacities since 1986. She began working in the health education department at the Los Angeles medical center as a Community Health Clinical Education Specialist and became the Regional HIV and Infectious Disease Nurse Coordinator in1989. In that capacity Enid coordinated and facilitated strategic planning and implementation of HIV and Infectious Disease-related care and prevention programs across the care continuum.