Old lady finally affluent or elevated leader among nurses? (6)

Independent Cryptic #12163 | 6 Down | 2025-10-02
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I haven't cracked this one yet — but the brilliant team at Fifteensquared have:

Another clue-as-definition? : MA (‘old lady’) T (last or ‘final’ letter of affluent) + a reversal (‘elevated’) of OR + N (first letter or ‘leader’ of nurses) – part of the wordplay being the definition

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