For those who are serious about their Native American jewelry. Elvira Bill is the daughter of renowned Navajo artisans Emerson Bill and Rita Touchine. We bought a lot of her pieces years ago when she worked at a New Mexico trading post. She expressed her desire back then to go into the nursing field. She went to school to do just that and eventually went to work at a New Mexico hospital and either ceased or cut way back on making jewelry. But creative habits are hard to break and here we are with a great cuff made by Ms. Bill. Total inside circumference of this cuff is seven inches. Thus it will fit someone with a total wrist circumference (measured around the wrist bone) of 6 and 7/8th's up to 7 and 1/8th-inches. It's massive and won't lend to reshaping so measure twice; buy once. This piece of wearable art weighs 171-grams, or 6-ounces! It is 2 and 1/8th-inches lengthwise across the top. And we would expect nothing less of Elvira Bill than to choose an outstanding No. 8 Mine turquoise cabochon as icing on the cake. Hallmarked "Elvira Bill (third photo)." Complimentary USPS tracked Priority shipping within the U.S. Enjoy!