would be how I say it.
My mom's family is Italian (my late grandfather was from Italy) so the most I've ever heard anyone saying it has been in reference to distant Italian relatives.
I like it a lot--it's one of my very favorites, particularly in the combo
Elizabeth Antonia or
Antonia Elizabeth. I think it's a beautiful name, a bit less common but not so obscure that it sounds like a forced effort at being interesting. I can't say I like any nicknames for it, though, especially
Toni.
www.qwantz.com