It also describes a person
who is just openly
and willingly violating
the gender boundary
a number of things that are decidedly masculine
at the same time.
The classic example would be seeing someone walking down the street with a beard, unshaven legs, and long hair, while wearing a dress and high heels and carrying a purse.
It has to be clear it is not an accident, but quite intentional, and can really throw off people who are not prepared and/or used to it. And it doesn't really count when done for comedic purposes.