Letha Joseph, DNP, AGNP-BC, APRN, is nurse practitioner at the Community Living Center, Durham VA Health Care System. She completed BSN from University of Delhi, India and Masters in Nursing and Doctorate in Nursing Practice from University of North Carolina Chapel Hill. She is a current Duke- Johnson & Johnson Nurse Leadership Fellow. She is an adjunct faculty/ session instructor for Family Nurse Practitioner program at Simmons University Boston and has voluntary faculty assignments as adjunct associate professor at School of Nursing, UNC Chapel Hill and as consulting associate at Duke University School of Nursing. She attended Goals of Care Conversation - Train the Trainer program conducted by Veteran Health Administration and Vital talk. She has published articles in adult medicine and has presented in several national and international conferences. Also, Ms. Joseph is the current secretary for National Association of Indian Nurses of America.