#### UNITED STATES of America, Plaintiff—Appellee, v. XIN HE, Defendant—Appellant.

No. 10-30021.

United States Court of Appeals, Ninth Circuit.

Argued and Submitted Nov. 5, 2010.

Filed Dec. 10, 2010.

Helen J. Brunner, Esquire, Kathryn Warma, Assistant U.S., Katheryn Kim Frierson, Office of the U.S. Attorney, Seattle, WA, for Plaintiff-Appellee.

Terrence Kellogg, Counsel, Law Office of Terrence Kellogg, Seattle, WA, for Defendant-Appellant.

*221Before: B. FLETCHER and BYBEE, Circuit Judges, and WILKEN, District Judge.*

*

 The Honorable Claudia Wilken, United States District Judge for the Northern District of California, sitting by designation.

MEMORANDUM **

Xin He appeals her felony conviction, following a bench trial, of misbranding of a drug held for sale, with intent to defraud or mislead, in violation of 21 U.S.C. §§ 331 (k) and 333(a)(2). We have jurisdiction under 28 U.S.C. § 1291, and we affirm.

We find sufficient indicia in the record to support a conclusion that the district judge properly interpreted 21 U.S.C. § 333(a)(2). Thus, we review whether there was sufficient evidence to support Appellant’s felony conviction. Our review of the sufficiency of evidence is governed by *Jackson v. Virginia,*443 U.S. 307, 99 S.Ct. 2781, 61 L.Ed.2d 560 (1979). *United States v. Nevils,*598 F.3d 1158, 1163-64 (9th Cir.2010). First, we consider “the evidence presented at trial in the light most favorable to the prosecution.” *Id.*at 1164. We then “determine whether this evidence, so viewed, is adequate to allow *‘any*rational trier of fact [to find] the essential elements of the crime beyond a reasonable doubt.’ ” *Id.*(quoting *Jackson,*443 U.S. at 319, 99 S.Ct. 2781). Reversal is appropriate only “if the evidence of innocence, or lack of evidence of guilt, is such that all rational fact finders would have to conclude that the evidence of guilt fails to establish every element of the crime beyond a reasonable doubt.” *Nevils,*598 F.3d at 1165.

In the count she appeals, Appellant was charged with offering “for sale as Botox® a drug which was not Botox®” with intent to defraud and mislead, a felony misbranding offense. *See*21 U.S.C. §§ 331(k), 333(a)(2) and 352(i). The government presented evidence that, in China, Appellant received medical training and worked as a surgery room nurse and, in the United States, received training and worked as a licensed dental assistant, attended cosmetology school and was licensed as a manicurist and aesthetician. Appellant’s website represented that she was a registered nurse, which was false, and that her clinic followed recommendations by the Centers for Disease Control and Prevention. Appellant testified that these statements were included to lead consumers to believe that she was a professional.

This evidence, if viewed in the light most favorable to the government, could lead a rational fact finder to conclude that Appellant was sufficiently sophisticated to know that the vials labeled with Chinese characters that she obtained in China and smuggled into the United States did not contain authentic Botox, even if she believed the contents were chemically identical to Botox. This knowledge, considered along with Appellant’s misrepresentation and failure to disclose material facts at the time she offered the substance for sale, could lead a rational fact finder to conclude beyond a reasonable doubt that she had the requisite intent to defraud or mislead in connection with offering a misbranded drug for sale. Accordingly, we uphold Appellant’s felony misbranding conviction.

AFFIRMED.

**

 This disposition is not appropriate for publication and is not precedent except as provided by 9th Cir. R. 36-3.