Elise was called the Villainous Empress in her first life; she is reincarnate...
Doctor Elise: The Royal Lady with the Lamp
Season 1 Episode 11: A Wish
Elise is awarded the Order of the Imperial Rose. It's a good day, filled with congratulations from all around, but Elise's head is filled with thoughts of the physician's exam. Then, Minchester suddenly collapses.