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Grand Duchess Elizabeth of Russia after she left the royal family and founded a convent in Moscow to help the poor and ill, ca. 1915

National Library of Medicine

A White female nurse nun (Duchess Elizabeth) in her full habit, looking at the viewer.
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    Е.И.В. Вел. Кн. Елисавета Феодоровна.
    Начальница Марфо-Маріинской обители въ Москвѣ.
    [Handwriting] I. A. J. La Grande Duchesse Elisabethe Feodorovna

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    [from Russian] H. R. M. [Her Royal Majesty] Archduchess Elizabeth Feodorovna
    Chief of the Marfo-Mariinsky Convent in Moscow
    [Handwriting] [from Italian] H. R. M. Archduchess Elizabeth Feodorovna