Quadruple board-certified in Pediatrics, Internal Medicine, Neonatal-Perinatal Medicine, and Hospice and Palliative Medicine, Dr. Krishelle Marc-Aurele serves as Professor of Pediatrics at UC San Diego and Neonatal-Perinatal Fellowship Program Director, seeing patients out of 200 W Arbor Dr in Hillcrest. NICU operations run through UCSD Hillcrest alongside adult inpatient services at UC San Diego Medical Center Internal Medicine Group Practice, reflecting a dual Med-Peds training background from Duke University Hospital (2003-2007). Clinical focus covers perinatal palliative care for families facing potentially life-limiting fetal diagnoses, bereavement support, and end-of-life decision-making for critically ill newborns, after a Case Western Reserve University School of Medicine MD (class of 2003). Transitional care for medically complex children aging out of pediatric services coordinates with Balboa Nursing and Rehabilitation Center when long-term skilled nursing or rehab sits inside the goals-of-care plan. The deepest-scope work lives at the intersection of neonatology and palliative medicine — counseling families through Trisomy 13, Trisomy 18, anencephaly, and other potentially lethal congenital diagnoses, then coordinating birth plans, comfort-care NICU admissions, and post-discharge hospice referrals across Rady Children’s Hospital, UCSD Jacobs Medical Center, and home-based teams.