NMMRA: New Mexico Medical Review Association
New Mexico's Health Quality Improvement Organization

Biographical Data (Form E)

(Complete one form for each presenter)

Name:
E-mail:
Name and Degrees:
Present Position and Description:
Employer:
Address:
E-mail:
Telephone:

 

Education (include basic preparation through highest degree held)
Degree Year Awarded Institution (Name, City, State) Major Area of Study

Briefly describe your professional experience or areas of expertise (including publications) which contribute to your particular involvement in this continuing medical education activity:

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