I was raised in Chicago, IL. I attended medical school and trained in surgery at Case Western Reserve University School of Medicine. After a fellowship in surgical oncology at the National Cancer Institute, I was an Assistant Professor of Surgery and Surgical Oncology at the University of Virginia. In 1992, I came to Roswell Park where I served as Chief of the Breast Service, and Professor of Surgery and Oncology until 2013. 

In April 2016, following a three-year appointment as Cancer Center Director at Baptist Cancer Center in Memphis, TN, I returned to Roswell Park in my new role within the Roswell Park administration and the Departments of Surgical Oncology and Cancer Prevention and Control. 

At Roswell Park, I'm active in breast cancer research, techniques of surgery and sentinel lymph node biopsy. I'm also active in efforts to define and improve the quality of cancer care for breast and other types of cancer. My work involves research with large cancer registry programs and linking those registries to other sources of cancer treatment information. I serve as the Director of the Clinical Oncology Pathways program at Roswell Park and its affiliate network to assess and improve the quality of care throughout the Roswell system.