New doe

My husband brought this doeling home yesterday and she did not look well kept. She was very dirty. She is in milk. This morning when I went to milk her I took a closer look at her I noticed her face didn’t look great. She is a Nigerian dwarf. What do you think the balding is on her face? How does she look in general? What are your thoughts? Where should I start with getting her to optimal health? She is 5 years old