This is China Blossom, the vinyl Innuendo sculpt 16" ball-jointed doll by Goodreau Doll, dressed up in the Gothic Lolita outfit, also by Goodreau.
My favorite thing about BJDs is how customizable they are, and how a wig can change their look instantly. Innuendo is wearing the Kai wig in Snow (also by Goodreau). (I really like her eerie look, with her pale white skin and white hair!) You can see her full photo shoot here, and you can see her in her original outfit in my Flickr album also.
This outfit also includes the little doll, and also adorable pink and white maryjane shoes, which allow this doll to stand up on her own, in some poses.