Italian Supermodel in nurse outfit, cleavage, very short skirt, long shapely legs, (nurse outfit), tights, large breasts, hair tied up in a bun, (holding clipboard)

deformed, bad anatomy, disfigured, poorly drawn face, mutation, mutated, extra limb, ugly, disgusting, poorly drawn hands, missing limb, floating limbs, disconnected limbs, malformed hands, blurry, ((((mutated hands and fingers)))), watermark, watermarked, oversaturated, censored, distorted hands, amputation, missing hands, obese, doubled face, double hands, b&w, black and white, sepia