She was regarded by European and Māori authorities of her time as a nuisance, frequently prescribing patients with brandy, but for many who sought her help, she was their only provider of medical care.
She was also an accomplished weaver and examples of her weaving were acquired by the Colonial Museum (now Te Papa) to demonstrate patterns of kete whakairo.
[1] In 1906, Hikapuhi married Alfred Clayton, a surveyor from Tasmania; they had at least eight daughters and three sons together.
[4] Hikapuhi's medical practices were scrutinised by government officials under the Tohunga Suppression Act 1907 however she continued to provide health care.
[1] Hikapuhi died in 1931, and was buried at Te Wharetāinga Moko, near Lake Rotoiti.