This photograph [2] was taken around the time of her graduation in 1884. Annie Alexander. A surviving invitation [3] indicates she must have invited relatives and friends to her graduation in Philadelphia. The Charlotte Home and Democrat [4] informed its readers of her achievement.
Links
[1] https://www.cmstory.org/exhibits/dr-annie-alexander-lifetime-service-early-years/3
[2] https://www.cmstory.org/sites/default/files/images/ALA%20profile.png
[3] https://www.cmstory.org/sites/default/files/images/WMCinvitation.png
[4] https://www.cmstory.org/sites/default/files/images/Charlotte%20Democrat%20clipping.png
[5] https://www.cmstory.org/exhibits/dr-annie-alexander-lifetime-service
[6] https://www.cmstory.org/exhibits/early-years
[7] https://www.cmstory.org/tags/early-years
[8] https://www.cmstory.org/tags/dr-annie-alexander
[9] https://www.cmstory.org/tags/graduates
[10] https://www.cmstory.org/tags/graduation
[11] https://www.cmstory.org/tags/medical-school
[12] https://www.cmstory.org/tags/announcements
[13] https://www.cmstory.org/book/lifetime-service-story-dr-annie-alexander