Dr. Ayala received her medical degree from Saba University School of Medicine, Netherlands Antilles. She completed her Residency in Internal Medicine at Brookdale University Medical Center in Brooklyn, NY and her Fellowship in Hospice and Palliative Medicine at NYU Langone Medical Center in NY where she was inducted into the Gold Humanism Honor Society. She also completed the Einstein-Cordozo Bioethics Certificate Program at the Benjamin N. Cordozo School of Law. Prior to joining Bergen Medical Associates, Dr. Ayala served as an attending in Hospital Medicine at Jacobi Medical Center, holding an academic appointment of Assistant Professor of Clinical Medicine, Pain and Palliative Care through the Albert Einstein College of Medicine. She also served as the Medical Director for a hospice agency in the Bronx, followed by joining a hospitalist group in Westchester, NY. Dr. Ayala is Board Certified in both Internal Medicine and Hospice and Palliative Medicine and speaks fluent Spanish.