Tammy M.
Staff RN; Labor & Delivery at CHI St. Alexius Health- Claim this Profile
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Bio
Credentials
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Registered Nurse
Notth Dakota Board of NursingDec, 2021- Nov, 2024
Experience
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CHI St. Alexius Health
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United States
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Hospitals and Health Care
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300 - 400 Employee
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Staff RN; Labor & Delivery
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Dec 2014 - Present
Critical Access hospital in rural North Dakota. Unit averages 70 deliveries per month, and I provide labor and delivery nursing care along with postpartum, normal newborn, infant stabilization and L2 NICU care. Critical Access hospital in rural North Dakota. Unit averages 70 deliveries per month, and I provide labor and delivery nursing care along with postpartum, normal newborn, infant stabilization and L2 NICU care.
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Hospice Family Care
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Tucson, Arizona
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Charge Nurse
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Apr 2013 - Feb 2014
Day shift Charge RN, on an extremely high-acuity, high-intensity, medical/surgical hospice inpatient unit. Charged with the primary care of up to ten patients per shift. Medication administration, teaching to patient and family regarding patient’s proposed care plan. Possess excellent organizational skills. Lovingly provide patient & family with comfort; encourage peaceful environment and gentle, care to facilitate the ease of transition from one life circumstance to the next. Day shift Charge RN, on an extremely high-acuity, high-intensity, medical/surgical hospice inpatient unit. Charged with the primary care of up to ten patients per shift. Medication administration, teaching to patient and family regarding patient’s proposed care plan. Possess excellent organizational skills. Lovingly provide patient & family with comfort; encourage peaceful environment and gentle, care to facilitate the ease of transition from one life circumstance to the next.
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La Frontera Center
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Tucson, Arizona
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Charge Nurse
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Feb 2008 - Apr 2013
Night shift charge RN, responsible for all aspects of nursing care; including admission of clients into the psychiatric care system, assessment of current and previous psychological/medical issues, medication review, and immediate treatment when necessary, in accordance with physician orders. Managing patient detoxification from all manner of substances utilizing substance-specific protocols. Assessing and intervening with patients on suicide watch, and updating care team and providers… Show more Night shift charge RN, responsible for all aspects of nursing care; including admission of clients into the psychiatric care system, assessment of current and previous psychological/medical issues, medication review, and immediate treatment when necessary, in accordance with physician orders. Managing patient detoxification from all manner of substances utilizing substance-specific protocols. Assessing and intervening with patients on suicide watch, and updating care team and providers regarding changing statuses. Charted all nursing actions utilizing e-Cet, computer based charting system. Microsoft word processing programs, including Excel and Word, used with proficiency. As the only licensed caregiver on shift at this 16-bed, acute care psychiatric facility, my responsibility level was vast. I provided behavioral health technicians with guidance regarding how to safely and appropriately conduct themselves with clients, chart various occurrences appropriately, and ran emergency drills of varying complexities on a monthly basis. Frequently ordered medication refills for the unit through Infoscribe. Show less Night shift charge RN, responsible for all aspects of nursing care; including admission of clients into the psychiatric care system, assessment of current and previous psychological/medical issues, medication review, and immediate treatment when necessary, in accordance with physician orders. Managing patient detoxification from all manner of substances utilizing substance-specific protocols. Assessing and intervening with patients on suicide watch, and updating care team and providers… Show more Night shift charge RN, responsible for all aspects of nursing care; including admission of clients into the psychiatric care system, assessment of current and previous psychological/medical issues, medication review, and immediate treatment when necessary, in accordance with physician orders. Managing patient detoxification from all manner of substances utilizing substance-specific protocols. Assessing and intervening with patients on suicide watch, and updating care team and providers regarding changing statuses. Charted all nursing actions utilizing e-Cet, computer based charting system. Microsoft word processing programs, including Excel and Word, used with proficiency. As the only licensed caregiver on shift at this 16-bed, acute care psychiatric facility, my responsibility level was vast. I provided behavioral health technicians with guidance regarding how to safely and appropriately conduct themselves with clients, chart various occurrences appropriately, and ran emergency drills of varying complexities on a monthly basis. Frequently ordered medication refills for the unit through Infoscribe. Show less
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Registered Nurse
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Feb 2004 - Feb 2008
Routinely, positions scheduled were that of shift or unit charge nurse, despite being non-staff (agency). Proudly, I held a 98% re-request rate, and routinely was offered contract-buy-out positions, resulting from the extremely high satisfaction ratings at all of the facilities with whom I was booked. I had the opportunity through the amazingly interesting work done as an agency nurse, to become immensely proficient and autonomous in extraordinarily challenging nursing… Show more Routinely, positions scheduled were that of shift or unit charge nurse, despite being non-staff (agency). Proudly, I held a 98% re-request rate, and routinely was offered contract-buy-out positions, resulting from the extremely high satisfaction ratings at all of the facilities with whom I was booked. I had the opportunity through the amazingly interesting work done as an agency nurse, to become immensely proficient and autonomous in extraordinarily challenging nursing specialties; including some of the highest acuity: Labor and Delivery/NICU units; Medical/surgical units; Psychiatric and Mental Health Facilities; and Correctional Facility Nursing positions in Tucson. Positions held were those within large teaching facilities & correctional facilities, as well as smaller clinics. I was directly responsible for overseeing, guiding, and providing care for populations of patients which were enormously varied. Responsibilities included a conglomeration of numerous essential duties and nursing challenges, which would change from day to day, requiring great ease of versatility. Show less Routinely, positions scheduled were that of shift or unit charge nurse, despite being non-staff (agency). Proudly, I held a 98% re-request rate, and routinely was offered contract-buy-out positions, resulting from the extremely high satisfaction ratings at all of the facilities with whom I was booked. I had the opportunity through the amazingly interesting work done as an agency nurse, to become immensely proficient and autonomous in extraordinarily challenging nursing… Show more Routinely, positions scheduled were that of shift or unit charge nurse, despite being non-staff (agency). Proudly, I held a 98% re-request rate, and routinely was offered contract-buy-out positions, resulting from the extremely high satisfaction ratings at all of the facilities with whom I was booked. I had the opportunity through the amazingly interesting work done as an agency nurse, to become immensely proficient and autonomous in extraordinarily challenging nursing specialties; including some of the highest acuity: Labor and Delivery/NICU units; Medical/surgical units; Psychiatric and Mental Health Facilities; and Correctional Facility Nursing positions in Tucson. Positions held were those within large teaching facilities & correctional facilities, as well as smaller clinics. I was directly responsible for overseeing, guiding, and providing care for populations of patients which were enormously varied. Responsibilities included a conglomeration of numerous essential duties and nursing challenges, which would change from day to day, requiring great ease of versatility. Show less
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Compass Healthcare
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Tucson, AZ
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Charge Nurse
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Jul 2003 - Jan 2004
One of two jobs held during this time-period, working directly with clients coping with, and many times overcoming, substance-abuse and addiction primarily. Responsibilities included admission of clients into the facility, often directly from the streets or their homes, and occasionally from emergency rooms. The keenest of assessment skills were required, as on the night shift, the facility hadn't an MD or NP presence, and these persons being admitted usually held a multitude of both… Show more One of two jobs held during this time-period, working directly with clients coping with, and many times overcoming, substance-abuse and addiction primarily. Responsibilities included admission of clients into the facility, often directly from the streets or their homes, and occasionally from emergency rooms. The keenest of assessment skills were required, as on the night shift, the facility hadn't an MD or NP presence, and these persons being admitted usually held a multitude of both chemical dependency and purely physiological (diabetes, infections, etc...) diagnoses. Often, our patients at admission were intoxicated, setting them up for detoxification-related seizures, severe discomfort, psychosis, and other sequelae. As one of two nurses working in the stand-alone facility overnight, it was extremely important not only to assess and properly medicate each of our intakes and longer-stay patients to prevent associated complications, but also, to work in close communication with the behavioral health technicians observing the clients continuously; thus ensuring a free-flow exchange of data. Doing so decreased the likelihood that any sign, symptom or complaint would be overlooked. Show less One of two jobs held during this time-period, working directly with clients coping with, and many times overcoming, substance-abuse and addiction primarily. Responsibilities included admission of clients into the facility, often directly from the streets or their homes, and occasionally from emergency rooms. The keenest of assessment skills were required, as on the night shift, the facility hadn't an MD or NP presence, and these persons being admitted usually held a multitude of both… Show more One of two jobs held during this time-period, working directly with clients coping with, and many times overcoming, substance-abuse and addiction primarily. Responsibilities included admission of clients into the facility, often directly from the streets or their homes, and occasionally from emergency rooms. The keenest of assessment skills were required, as on the night shift, the facility hadn't an MD or NP presence, and these persons being admitted usually held a multitude of both chemical dependency and purely physiological (diabetes, infections, etc...) diagnoses. Often, our patients at admission were intoxicated, setting them up for detoxification-related seizures, severe discomfort, psychosis, and other sequelae. As one of two nurses working in the stand-alone facility overnight, it was extremely important not only to assess and properly medicate each of our intakes and longer-stay patients to prevent associated complications, but also, to work in close communication with the behavioral health technicians observing the clients continuously; thus ensuring a free-flow exchange of data. Doing so decreased the likelihood that any sign, symptom or complaint would be overlooked. Show less
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Sonora Behavioral Health
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Tucson, AZ
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Staff RN
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Jan 2003 - Jan 2004
Staff RN working with adult and adolescent chemically-dependent and dual-diagnosis clients. Initially, spent months beginning the process of learning the intricacies of working one on one with persons coping with these issues in their lives. Both my nursing supervisors and patients themselves taught me volumes about the world of chemical dependency, psychiatric illness, and the fragility and incredible value of being given the chance to work with this specific patient population. As I… Show more Staff RN working with adult and adolescent chemically-dependent and dual-diagnosis clients. Initially, spent months beginning the process of learning the intricacies of working one on one with persons coping with these issues in their lives. Both my nursing supervisors and patients themselves taught me volumes about the world of chemical dependency, psychiatric illness, and the fragility and incredible value of being given the chance to work with this specific patient population. As I learned more, my level of responsibility within the facility grew. This position was an excellent stepping-stone opportunity, giving me the needed experience to take on more autonomous jobs and positions within the psychiatric/chemical dependency nursing community. Show less Staff RN working with adult and adolescent chemically-dependent and dual-diagnosis clients. Initially, spent months beginning the process of learning the intricacies of working one on one with persons coping with these issues in their lives. Both my nursing supervisors and patients themselves taught me volumes about the world of chemical dependency, psychiatric illness, and the fragility and incredible value of being given the chance to work with this specific patient population. As I… Show more Staff RN working with adult and adolescent chemically-dependent and dual-diagnosis clients. Initially, spent months beginning the process of learning the intricacies of working one on one with persons coping with these issues in their lives. Both my nursing supervisors and patients themselves taught me volumes about the world of chemical dependency, psychiatric illness, and the fragility and incredible value of being given the chance to work with this specific patient population. As I learned more, my level of responsibility within the facility grew. This position was an excellent stepping-stone opportunity, giving me the needed experience to take on more autonomous jobs and positions within the psychiatric/chemical dependency nursing community. Show less
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Labor of Love
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Tucson, AZ
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Owner/ Educator/ RN
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Feb 2001 - Jan 2003
Small business owner, teaching private courses to couples in their homes. I would provide education on the more universal circumstances encountered during any birthing experience, & added specifics accordingly. As an RN teaching future patients how to properly advocate for their needs in the best way to ensure they will be heard. Many expectant parents had never before entered into any medical facility for more than brief appointments. Simply helping them to gain some knowledge… Show more Small business owner, teaching private courses to couples in their homes. I would provide education on the more universal circumstances encountered during any birthing experience, & added specifics accordingly. As an RN teaching future patients how to properly advocate for their needs in the best way to ensure they will be heard. Many expectant parents had never before entered into any medical facility for more than brief appointments. Simply helping them to gain some knowledge of what they are likely to see, hear and experience, as well as the reasons behind such, can quell many fears. The more relaxed & prepared a mom is for even the most straightforward aspects of labor, the higher the probability of positive outcomes. Emotion regulation capability is key in labor. Stress and fear are hinderances to the natural processes women’s bodies are made to undergo. I assisted families with writing their birth plans. I encouraged parents understand that the birth plan was a tool/guideline, & that if situations prevent them from following their ideal plan, that does not mean they had “failed”. Helping families to see that cesarean sections needn’t signal "failure", and the unmedicated, vaginal, water birth for one mom is just as amazing as an epidural, operatively assisted vaginal delivery for another mom. The more patients can remain in charge of their personal goals, the more their experiences will feel right for them. Helping parents to learn that some medical interventions, carried out responsibly, with the only goal being prevention of harm for a healthy infant & mother, can be normal. The importance of asking questions about recommended interventions, putting tentative trust in the staff unless & until they are shown otherwise, and working to achieve a healthy balance between said trust & listening to one's own intuition, consist of a healthy place to exist whenever admitted to any medical institution for any procedure. Show less Small business owner, teaching private courses to couples in their homes. I would provide education on the more universal circumstances encountered during any birthing experience, & added specifics accordingly. As an RN teaching future patients how to properly advocate for their needs in the best way to ensure they will be heard. Many expectant parents had never before entered into any medical facility for more than brief appointments. Simply helping them to gain some knowledge… Show more Small business owner, teaching private courses to couples in their homes. I would provide education on the more universal circumstances encountered during any birthing experience, & added specifics accordingly. As an RN teaching future patients how to properly advocate for their needs in the best way to ensure they will be heard. Many expectant parents had never before entered into any medical facility for more than brief appointments. Simply helping them to gain some knowledge of what they are likely to see, hear and experience, as well as the reasons behind such, can quell many fears. The more relaxed & prepared a mom is for even the most straightforward aspects of labor, the higher the probability of positive outcomes. Emotion regulation capability is key in labor. Stress and fear are hinderances to the natural processes women’s bodies are made to undergo. I assisted families with writing their birth plans. I encouraged parents understand that the birth plan was a tool/guideline, & that if situations prevent them from following their ideal plan, that does not mean they had “failed”. Helping families to see that cesarean sections needn’t signal "failure", and the unmedicated, vaginal, water birth for one mom is just as amazing as an epidural, operatively assisted vaginal delivery for another mom. The more patients can remain in charge of their personal goals, the more their experiences will feel right for them. Helping parents to learn that some medical interventions, carried out responsibly, with the only goal being prevention of harm for a healthy infant & mother, can be normal. The importance of asking questions about recommended interventions, putting tentative trust in the staff unless & until they are shown otherwise, and working to achieve a healthy balance between said trust & listening to one's own intuition, consist of a healthy place to exist whenever admitted to any medical institution for any procedure. Show less
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Corondelet Health Network
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St. Marys/St. Josephs L/D/MBU/NICU
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Registered Nurse
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Feb 2000 - Feb 2001
Provided all aspects of maternal/infant care and teaching; from antepartum through postpartum care of mom. Additionally to normal newborn care, I was responsible for the care of stable infants in the NICU. This was wonderfully rewarding work and an amazing time in my personal career ladder. It also led me into owning and operating my own business, based upon the concepts of the maternal infant relationship and teaching moms and dads how to cope with the wide array of commonplace experiences… Show more Provided all aspects of maternal/infant care and teaching; from antepartum through postpartum care of mom. Additionally to normal newborn care, I was responsible for the care of stable infants in the NICU. This was wonderfully rewarding work and an amazing time in my personal career ladder. It also led me into owning and operating my own business, based upon the concepts of the maternal infant relationship and teaching moms and dads how to cope with the wide array of commonplace experiences families face from pregnancy through the birth of the infant. New babies require a lot of unique care, something which many new parents are uncertain about how to best provide...that first trip home with a new infant-ESPECIALLY if baby has just been discharged from NICU—is always overwhelming! Proper, focused, and thorough postpartum mom and infant care education is vital in soothing the overwhelm experienced by so many new moms and dads. Show less Provided all aspects of maternal/infant care and teaching; from antepartum through postpartum care of mom. Additionally to normal newborn care, I was responsible for the care of stable infants in the NICU. This was wonderfully rewarding work and an amazing time in my personal career ladder. It also led me into owning and operating my own business, based upon the concepts of the maternal infant relationship and teaching moms and dads how to cope with the wide array of commonplace experiences… Show more Provided all aspects of maternal/infant care and teaching; from antepartum through postpartum care of mom. Additionally to normal newborn care, I was responsible for the care of stable infants in the NICU. This was wonderfully rewarding work and an amazing time in my personal career ladder. It also led me into owning and operating my own business, based upon the concepts of the maternal infant relationship and teaching moms and dads how to cope with the wide array of commonplace experiences families face from pregnancy through the birth of the infant. New babies require a lot of unique care, something which many new parents are uncertain about how to best provide...that first trip home with a new infant-ESPECIALLY if baby has just been discharged from NICU—is always overwhelming! Proper, focused, and thorough postpartum mom and infant care education is vital in soothing the overwhelm experienced by so many new moms and dads. Show less
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Kaiser Permanente
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Santa Clara, California
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Staff Registered Nurse
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Sep 1999 - Jan 2000
Staff RN for highest acuity Labor/Delivery Unit. 13 bed facility with three dedicated operating suites and a unit average of 450 deliveries per month. This hospital had a stellar reputation and ability to easily manage twin and triplet pregnancies, pre-term labor, pre-eclampsia/eclampsia, TOLAC/VBAC, and a multitude of other highest-risk and rare maternity diagnoses. Additionally, women experiencing less complicated, low-risk pregnancies, seeking low intervention births, would seek… Show more Staff RN for highest acuity Labor/Delivery Unit. 13 bed facility with three dedicated operating suites and a unit average of 450 deliveries per month. This hospital had a stellar reputation and ability to easily manage twin and triplet pregnancies, pre-term labor, pre-eclampsia/eclampsia, TOLAC/VBAC, and a multitude of other highest-risk and rare maternity diagnoses. Additionally, women experiencing less complicated, low-risk pregnancies, seeking low intervention births, would seek care here due to Kaiser Santa Clara’s reputation of exceptional care provision. Two deliveries per shift was the average here. This facility required nursing staff to be capable of speaking up assertively to physicians whenever circumstances were out of normal. Being a teaching hospital, the residents naturally lacked in real world medical experience, and attendings weren’t always immediately present, due to the size and rapid pace at this facility. The minutia of each patient’s progress was predictive for each patient’s probable outcome in ways only experienced RNs were able to perceive. Working here taught me so much, as an RN with less than two years of OB experience, with special emphasis on how to voice my concerns in a professional, assertive and clear manner, to know the difference between my own personal fears, and actual potentially life or limb threatening situations for a patient, including how to bring the latter to the attention of staff members in a calmly pointed, yet still always respectful manner. Show less Staff RN for highest acuity Labor/Delivery Unit. 13 bed facility with three dedicated operating suites and a unit average of 450 deliveries per month. This hospital had a stellar reputation and ability to easily manage twin and triplet pregnancies, pre-term labor, pre-eclampsia/eclampsia, TOLAC/VBAC, and a multitude of other highest-risk and rare maternity diagnoses. Additionally, women experiencing less complicated, low-risk pregnancies, seeking low intervention births, would seek… Show more Staff RN for highest acuity Labor/Delivery Unit. 13 bed facility with three dedicated operating suites and a unit average of 450 deliveries per month. This hospital had a stellar reputation and ability to easily manage twin and triplet pregnancies, pre-term labor, pre-eclampsia/eclampsia, TOLAC/VBAC, and a multitude of other highest-risk and rare maternity diagnoses. Additionally, women experiencing less complicated, low-risk pregnancies, seeking low intervention births, would seek care here due to Kaiser Santa Clara’s reputation of exceptional care provision. Two deliveries per shift was the average here. This facility required nursing staff to be capable of speaking up assertively to physicians whenever circumstances were out of normal. Being a teaching hospital, the residents naturally lacked in real world medical experience, and attendings weren’t always immediately present, due to the size and rapid pace at this facility. The minutia of each patient’s progress was predictive for each patient’s probable outcome in ways only experienced RNs were able to perceive. Working here taught me so much, as an RN with less than two years of OB experience, with special emphasis on how to voice my concerns in a professional, assertive and clear manner, to know the difference between my own personal fears, and actual potentially life or limb threatening situations for a patient, including how to bring the latter to the attention of staff members in a calmly pointed, yet still always respectful manner. Show less
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San Jose Medical Center
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San Jose, CA
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Staff RN
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Jun 1998 - Sep 1999
Acute Care Level I/II Labor and Delivery Unit; Mother/Baby (couplet) Care, and Level II NICU, as well as Normal Newborn Nursery Acute Care Level I/II Labor and Delivery Unit; Mother/Baby (couplet) Care, and Level II NICU, as well as Normal Newborn Nursery
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Education
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1998 - 2000
San Jose State University
Bachelor of Applied Science (B.A.Sc.), Nursing -
1995 - 1998
De Anza College
Associate's degree, Registered Nursing/RN
Community
