Before coming to the US, she taught as an Assistant Professor at the University of the Philippines Mindanao in her hometown in Davao City, Philippines. She taught undergraduate courses in anatomy, physiology, parasitology, histology, microbiology, biology zoology, and cell biology.

In 2007, she taught as an Adjunct Faculty for the Veterinary Technician Program at the Santa Rosa Junior College in Santa Rosa, California.

She successfully earned her Educational Commission for Foreign Veterinary Graduates (ECFVG) Certificate in 2010 (https://www.avma.org/education/ecfvg/steps-ecfvg-certification-program). The Certification Program is a grueling 4-step process that all foreign veterinary candidates are required to pass before allowed to sit for the national and veterinary state boards and granted licensure in the U.S. It consists of 1) Registration and Proof of Graduation 2) Assessment of English Language Ability 3) Basic and Clinical Sciences Examination, and 4) Clinical Skills Assessment – a 3-day, 7-section, hands-on practical clinical skills examination.

In October 2010, she successfully passed the California Veterinary State Board Examination.

In 2017, Dr. Elmar took over the practice of her father-in-law, Dr. Emilio, after working at the A.E.Z.R. PET HOSPITAL for 10 years in various roles.

She and her husband, Rex, are the husband and wife team operating and managing the practice.