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She completed her medical degree in Preventive Medicine at UERM. She worked as a professor there while completing her graduate degree in Public Health at the University of the Philippines (UP). Offered a scholarship at a university in Australia, she opted to stay. Nesing left the faculty at UERM and placed her doctoral classes at Ateneo de Manila University on hold to become a full-time mother to her four children.
After many years and impelled by the need to perform community service like her family before her, Nesing become a civil servant to her home province of Aurora. Despite losing the congressional race, Nesing eventually became the first lady Governor of Aurora. She won the gubernatorial race by a landslide.