Mimi Rivard is a nurse practitioner with more than 25 years experience caring for people living with HIV and life limiting Illnesses in urban settings. . She worked toward development of an HIV specific palliative care model while practicing at Montefiore Medical Center in The Bronx, NY, and contributed to the HIV Palliative Care literature. In 2013, Ms Rivard moved to Columbus, Ohio and began practicing at Equtias Health, then AIDS Resource Center, Ohio. She is now the Lead Nurse Practitioner at Equitas Health, leading the effort to provide gender affirming care in an FQHC (Look Alike).