Nancy graduated from The Ohio State School of Veterinary Medicine in 1991. She completed a small animal rotating internship and Internal Medicine Residency at the University of Pennsylvania. Nancy remained at VHUP for an additional 3 years as an attending in the ICU, during which time she also completed a residency in Emergency/Critical Care. Nancy then went into private specialty practices in Northern New Jersey and Maryland, during which time she held a variety of positions including director of ER, ICU, Internal Medicine departments; director of IM and ER/CC Residency programs; and principal investigator of several clinical drug trials. After 21 years of clinical practice, Nancy has spent time supporting the medical consulting service at IDEXX; she is now a member of the medical education specialists division of the global medical organization.