Hill had administered Joyners anesthesia during a mini-facelift at the Center for Cosmetic and Plastic Surgery in Charlotte. Joyner, 45, stopped breathing in the recovery room and later died.

The state Medical Examiners Office ruled the April 2001 death an accidental poisoning. But Friday, Charlotte-Mecklenburg police said it was intentional.

Detective Chuck Henson, who investigated the case, said the outpatient surgical procedure went well and that Joyner was awake and talking when she was moved to the recovery room.

A source familiar with the circumstances of the death told The Charlotte Observer that Joyner and Hill did not get along in high school, and that Joyner did not recognize Hill when they met at the plastic surgery center years later.

Although Joyner's death was ruled an accident, the N.C. Medical Board investigated, and Joyner's family filed a malpractice lawsuit naming Hill and the surgeon, Dr. Peter Tucker.

At the time, Hill told the Observer that she had given Joyner fentanyl, a painkiller that authorities say caused her death. Hill said she had previously been told to give the drug to patients and had been "tormented" by Joyner's death. She said she'd been fired after the death.

In connection with Joyner's death, the state Board of Nursing charged Hill with failure to maintain an accurate record and failure to report information crucial to the safety of a patient.

The Medical Board's consent order said she failed to alert the doctor about Joyner's deteriorating condition and performed medical acts without supervision from a licensed physician.

In 2004, she voluntarily surrendered her license for a year and never applied to get it back, records show. In court papers, both Tucker and Hill denied responsibility for Joyner's death.

Capt. Sean Mulhall said Joyner's death was not reported to police in 2001 and had not been investigated until this year. Henson, a member of the cold case homicide squad, said prosecutors asked his team to look at it.

District Attorney Peter Gilchrist said his office asked for an investigation after receiving information about Joyner's death. He declined to be more specific.

Henson said Joyner's family was shocked by news of the investigation and the arrest. The Observer could not reach them on Friday. Henson said they were out of town.

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