Her lawyer, Kevin O'Donnell, says Francis pleaded not guilty. He notes she's presumed innocent. Francis is accused of injecting 34-year-old Kelly Mayhew in a Queens basement in May 2015. Mayhew had traveled from Suitland, Maryland, for the procedure.
Authorities say that Francis is not a licensed nurse or physician, and that Mayhew died because the procedure wasn't done properly. The 38-year-old Francis unsuccessfully fought extradition. Illicit silicone injections have caused multiple deaths in the United States.