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入宫途径和时间不详。嘉靖二十一年为贞妃。嘉靖四十四年七月四日马贞妃薨，年紀不詳，嘉靖帝賜諡「榮安」，葬在天壽山永陵旁，喪葬禮儀与阎皇貴妃相等。馬氏與阎貴妃、王貴妃、鄭賢妃等六位高级妃子、二位皇太子合葬於明十三陵的世宗賢妃墓。能以皇贵妃礼仪葬在明十三陵的帝陵陵區內，推測馬氏生前應是頗為有寵的妃子之一。（疑與榮安貴妃馬氏為一人，二人姓氏、諡號相同，繁體“貴”、“貞”字形相近，可能是誤記）
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