Pilgrim Imports Nurse Metal Fair Trade Ornament Intricately hand-crafted and made from metals including plated nickel, copper, and brass (no lead or harmful substances) Pieces are designed to be as safe as possible with a minimum of sharp corners and edges. Not intended for small children. Includes recycled gift box with silver ribbon Measures 4.25" x 1.75" Made fairly by workers earning a living wage in Chiang Mai, Thailand