I'm Elizabeth "Liz" Keller, a Nevada-licensed Family Nurse Practitioner, and I built my telehealth practice around one thing: perimenopause and menopause care that actually gets a full hour, not a rushed 15 minutes tacked onto an annual physical.
Every visit starts with the whole picture — sleep, nutrition, strength training, alcohol, stress load, and baseline metabolic labs — before deciding what you actually need. When hormone therapy is the right call, I prescribe FDA-approved transdermal and oral options consistent with The Menopause Society's guidelines and titrate until it's working. When it isn't, you still leave with a plan that treats your symptoms.
Nevada is a full-practice-authority state, so I diagnose, treat, and prescribe independently — no physician sign-off required. I'm direct-pay with published prices, so there's no insurance runaround, and I see patients anywhere in Nevada by telehealth, including the rural counties most practices don't reach.