Serving as a board-elected director, Dr. James is a pathologist with Physicians Laboratory LTD in South Dakota where she provides anatomic pathology services and laboratory consultation to hospitals in South Dakota, Iowa, Nebraska and Minnesota. She is also a blood bank medical director and processing facility director for the cellular therapy laboratory at Avera McKennan Hospital and a co-medical director of the Community Blood Bank.
Dr. James is a member of the College of American Pathologists, for which she is the South Dakota House of Delegates Chair. She is also a member of the American Society for Clinical Pathology, Association for the Advancement of Blood and Biotherapies (AABB) and American Society for Transplantation and Cellular Therapy.