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In page Kei Okami:

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Later, she closed her private practice and served as the vice-principal of Shoei Girls' school (a predecessor of the Shoei Girls' Junior and Senior High School) which was founded by her brother-in-law Kiyomune where she taught anatomy to nurses in a major hospital.[citation needed] In 1897, she opened a small hospital for women in partnership with a friend, Mrs. True, and also established a school of nursing in the same location. The hospital closed after approximately nine years, due to a limited number of patients, which largely consisted of foreign female missionaries.[citation needed]