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In June 1992, Dr. Connie Mariano became the first military woman in American history to be appointed White House Physician. She was nominated by the Navy and selected by the White House for this honor. In 1994, Dr. Mariano was named Director of the White House Medical Unit and chosen by President William Clinton to serve as his personal physician. Dr. Mariano served nine years at the White House where she was physician to three sitting American Presidents. Completing 24 years of active duty service, Dr. Mariano retired from the Navy in June 2001 with the rank of Rear Admiral. She became the first Filipino American in history to become a Navy Admiral on July 1, 2000. After leaving the White House, Dr. Mariano became a consultant in the Executive Health Program at the Mayo Clinic in Scottsdale, Arizona, from July 2001 to October 2005. In November 2005, Dr. Mariano founded the Center for Executive Medicine, a medical concierge practice which provides presidential-quality medical care to CEOs and their families. An expert in presidential health care including the 25th Amendment to the Constitution, Dr. Mariano is a frequent speaker on the topics of care to VIPs, presidential disability, travel medicine, and optimizing quality of care.