Piku pursued her childhood passion for supporting underserved communities through training in public health, which culminated with a PhD in Epidemiology at the University of North Carolina at Chapel Hill. Over 15 years, Piku worked as an infectious disease epidemiologist on global health research and programs across 14 countries in Africa, South Asia, and Central Asia. The broad scope of her work has included research in HIV-malaria co-infection in Malawi; HIV risk in men who have sex with men in Mali; sexual behavior surveys in Burkina Faso, India, and Rwanda; microbicide trials for HIV prevention in Zambia; evaluation of large-scale HIV prevention programs for female sex workers in India; and providing technical assistance on monitoring and evaluation of national antiretroviral treatment programs and opioid substitution therapy for people who inject drugs. Piku lives in New York and currently provides epidemiological support for the treatment of mental health disorders and retinal disease at a family-owned pharmaceutical company. Piku joined Minga in 2021.