Early in Pauline’s career, she spent time delivering services in San Bernardino County High Desert in Maternal-Health, Family Planning and other Public Health services such as vaccinations and home health care. Pauline spent some years in the California Department of Health, Medi-Cal Program, developing and implementing policies for reimbursements. Pauline then transferred to lead the State SIDS program. For 23 years, Pauline was the Executive Director of the San Jose Mothers’ Milk Bank, a non-profit organization providing donated Human Milk to NICUs and families whose infants failed to thrive. Pauline developed policies to assure the public safety on processing human milk, organized and led the development the Human Milk Association of North America, maintained the operations, marketing and distribution of pasteurized human milk. During her term, the organization distributed from 2,000 oz of milk in 1991 to over 650,000 oz of milk in 2019. During her employment, she was appointed as President and Vice-President of HMBANA, Board member of the US Breastfeeding Committee, Advisory committee for PATH for the development of milk banks globally as the first vaccine for infants and assisted the first milk bank in Japan. In 2019, Pauline stepped down from the leadership position and currently hold a consultant position in operation and regulation with the San Jose Milk Bank. Pauline continues to do pro bono work with HMBANA and the Asian American Pacific Islander Native Hawaiian ( AAPINH) Collaboration in California to advance breastfeeding goals and develop culturally sensitive support for mother/birthing persons.