It is a pendent. Called a flower blossom pendent. This is kingman Turquoise. Kingman turquoise is known for its rich tones of blue, green and brown veins that almost look yellow. Will go with anything you wear. Pendent has a large bell on the top (hang deal) so you can wear it with any size pearl. That is really nice because a lot of pendents do not give you that freedom.
Pendent is in a a strand of size large 14mm Navajo pearls measuring 16” long. These are handmade, not machine which increase their value. It is heavier with silver as well, best made.