MANHATTAN. N.Y. — A woman accused of shoving a Broadway vocal coach and causing her death was ordered held without bail Tuesday.

Lauren Pazienza, 26, of Port Jefferson, was indicted last month on first-degree manslaughter and second-degree assault charges in connection with 87-year-old Barbara Maier Gustern's death.

According to court documents, Pazienza approached Gustern on the sidewalk on West 28th Street around 8:30 p.m. on March 10 and shouted obscenities at the 87-year-old. She then intentionally shoved her to the ground.

Gustern fell to the ground, striking her head on the pavement, "causing a massive hemorrhage to the left side of her brain," according to Manhattan District Attorney Alvin Bragg's office.

Pazienza fled the scene and left Gustern on the ground bleeding from her head, the DA's office added.

Eyewitnesses called for an ambulance and Gustern was transported to a nearby hospital, where she died five days later.

Bragg's office said Pazienza stayed in the area for approximately 20 minutes, and video showed her having a physical altercation with her fiancé and watching the ambulance arrive at the scene.

Pazienza and her fiancé then headed to Penn Station, where they boarded a subway to their apartment in Astoria, officials said. There, she deleted all her social media accounts and took down her wedding website.

"This was a senseless and unprovoked attack," Bragg said in a statement. "Barbara Gustern was a beloved vocal coach who lived a vibrant and active life at the age of 87, and her loss was felt deeply by many throughout the city. After allegedly walking away from Ms. Gustern as she laid on the ground bleeding, Lauren Pazienza went to great lengths to avoid accountability for her actions."

Bragg's office said Pazienza eventually fled to Long Island to stay with family before turning herself into police on March 22.

Pazienza's attorney, Arthur Aidala, has said the situation was a misunderstanding that has been "way overcharged."

"They're absolute strangers and whether it was a push or whether it was a shove or whether it was a kick or whether someone tripped, the evidence is not very solid on that at all," he told reporters outside the courthouse on March 22.