Ms. Land at the age of 16 obtained her CNA license in 1978 and worked at Glenn County Hospital and Willows Nursing Care Center while in high school.  While in college, she was the Assistant Office Manager at Livingston Dental Group.  Ms. Land received her BA in 1984 and her Post-Graduate Teaching Certification degree in 1985 from CSU Stanislaus.  After teaching for a few years, she accepted a Customer Service / Teaching position in the Medical Division of Poorman-Douglas for 4 years.   For the next 6 years, she was the Billing Supervisor at a Billing Service.  She has also been a guest lecturer on Medical Documentation Requirements at both Greenville Technical College and Anderson University.  For the last 25 years, Ms. Land has been the Practice Administrator.