Josie was initially a LPN in a medical surgical floor at Pelham Bay General Hospital in Bronx, NY. She attended St John University in Queens, NY, earning a BS degree in Allied Health in 1987 and trained at Bayley Seton Hospital where she earned her Physician Assistant Certificate. She is currently board certified through the National Commission on Certification of Physician Assistants and is a member of the American Academy of Physician Assistants. She has practiced in a number of medical arenas including surgery as a first assistant, alcohol and drug detoxification, and family practice.