A pencil inscription on the back of this carte de visite identifies the group as “Dr. Miller, wife & sisters.” The writing is post-Civil War, which suggests it was added at some point after the image was removed from an album. The album sleeve or index page at the front of the album likely contained the information. The lack of photographer’s back mark or any other information presents enormous challenges in tracing the origin of this particular physician. Dr. Miller’s wife is likely the woman standing behind him with her hand on his shoulder. His sisters sit in various states of repose around him. Each face is a study within itself.