She doesn't need hands. The deadly neurotoxin ensures choking.
...and paralysis, loss of hearing or vision, tuberculosis, cancer, loss of bladder control, loss of equilibrium, senility, athlete's foot, ringworm, back pain, shoulder pain, low resale value on your home, heart attacks, panic attacks, back hair, excessive body odor, drymouth, indigestion, constipation, herpes, diarrhea, violent mood swings, impromptu break dancing, osteoporosis, psoriasis, and untimely doom.