masterpiece, best quality, 4k, (medium shot), 1girl, (arms over head:1.4) smiling beautiful Japanese female nurse wearing fitted aqua nurse dress, beautiful detailed face, black hair, pale skin, realistic skin, detailed cloth texture, detailed hair texture, Perfect proportion, accurate, Anatomically correct, Highly detailed face and skin texture, modern hospital, photorealistic, crystal clear, high-definition, crisp, ultra-sharp, vivid, intricate details, soft natural light, subtle shadows, precise luminance, enhanced color palette, heightened realism.