Her nursing career spanned nearly a decade across multiple hospitals and care facilities in the Como area, providing sustained access to vulnerable patients — many of them elderly and terminally ill. Her own stated motive, that she induced medical crises to watch resuscitation efforts, places her among a recognized pattern of healthcare workers whose harm is enabled by institutional trust. Convicted of five murders, she was suspected of as many as eighteen, a gap that reflects both the difficulty of investigating deaths in clinical settings and the mobility she maintained between employers.