Ethical decision-making in critical care and palliative medicine settings forms the foundation of her bioethics expert witness practice developed through 13 years of experience in clinical ethics consultation, palliative care, and healthcare ethics program development. Her work includes pediatric and adult palliative care consultation, ICU-based ethics analysis, advance care planning, surrogate decision-making, end-of-life care discussions, moral distress, and interdisciplinary coordination involving patients with serious illness and complex medical conditions. Her experience also includes bioethical review of organizational and professional conflicts, ethics consultation for unidentified and unbefriended patients, and participation in multidisciplinary cardiovascular and intensive care unit rounds.

Her educational background includes a Doctor of Bioethics degree, graduate education in bioethics, and advanced training in medical and biological illustration. Additional specialized training includes clinical ethics consultation coursework, ACES clinical ethics training, palliative care leadership education, POLST training, end-of-life nursing education programs, and research ethics certification. Professional affiliations include the American Society for Bioethics and Humanities, California Coalition for Compassionate Care, Southern California Bioethics Committee Consortium, and Association of Medical Ethics.

She has held leadership and administrative responsibilities as Director of Bioethics, Clinical Ethics Consultant, Palliative Care Program Manager, and Palliative Care Program Coordinator within hospital-based ethics and palliative care services. Her responsibilities included conducting patient and family ethics consultations, participating in ethics committee case reviews, developing palliative care policies, coordinating interdisciplinary palliative care initiatives, and contributing to institutional policy review and ethics documentation processes. Additional work involved development of palliative care referral pathways, program implementation planning, clinical data reporting, grant-supported palliative care program development, and integration of palliative care consultation tools into electronic medical record systems.

Her academic and educational activities include curriculum development involving pediatric palliative care ethics, authorship of educational material addressing moral distress among healthcare providers, and instruction for healthcare professionals on bioethics, advance care planning, POLST, and palliative care delivery models. She has delivered lectures, nursing education presentations, Grand Rounds instruction, and ethics-focused educational sessions involving end-of-life care, clinical ethics consultation, and palliative medicine frameworks. Her scholarly work also includes publication development, ethics-focused research initiatives, and grant proposal writing related to palliative care implementation and healthcare resource utilization.