This nurse necklace features an iconic stethoscope and sunflower pendant crafted from polished lead and nickel free 925 sterling silver It is a high quality and comfortable gift to honor the dedicated work of doctors dentists nurses veterinarians medical students and teachers The pendant measures approximately twenty millimeters and hangs on an adjustable rolo chain making it suitable for everyone This piece is a perfect gift for birthdays holidays or Nurse Day and arrives in a gift box Our customer service team is committed to your satisfaction and will respond to any inquiries within twenty four hours