(left) during a change of command ceremony on June 6, 2013. In 1994, Horoho was the head nurse of the emergency room at
Womack Army Medical Center. She treated the wounded in the aftermath of the
Green Ramp disaster. Among her military awards are the
Army Distinguished Service Medal, the
Order of Military Medical Merit medallion,
Legion of Merit with two
oak leaf clusters,
Meritorious Service Medal with 6 oak leaf clusters,
Army Commendation Medal with three oak leaf clusters, and the
Army Achievement Medal with one oak leaf cluster. • Western Regional Medical Command, based in
Fort Lewis, Washington (2008–2010), and •
United States Army Medical Command, as
Surgeon General of the United States Army (December 2011 – December 3, 2015). Horoho was succeeded by Lieutenant General
Nadja West on 11 December 2015. Horoho retired from the Army on 1 February 2016. ==Awards and recognitions==