Personalized Nurse Jewelry, Sterling Silver Stethoscope Necklace Cute little necklace for a special nurse of caregiver! .925 Sterling Silver Stethoscope charm measures: 20mmx 11mm .925 Sterling Silver initial disc 9mm (approx 3/8 inch) Post your letter (1) choice at checkout 6mm Silver plated Swarovski crystal birthstone charm with Sterling Silver jump ring choose Birthstone month from drop down menu. .925 Sterling Silver Cable or Box chain with spring ring clasp. Choose chain style & length from drop down menu. Necklace arrives in a Beautiful Gift Box The personalized stamping to make this item has been hand stamped by me. I use metal letter stamps & a hammer. Each item is unique & the letters may not like up perfectly, this adds to the uniqueness of your jewelry piece & should not be counted as a defect. See more of my shop here Personalized Nurse Jewelry, Sterling Silver Stethoscope Necklace, Caregiver, Registered Nurse, Initial Disk With Swarovski Birthstone Charm