Dr. Tosha Starke

Dr. Starke & Michele with two of our VVMA Scavenger Hunt participants! 

I grew up on a grain and livestock farm in Brunswick County Virginia. I have always had a passion for caring for and healing animals. After receiving my Doctorate of Veterinary Medicine from Virginia Tech in 2004, I moved to Northern Virginia to practice Veterinary Medicine. For over the past decade, I have provided exceptional surgical and medical care to furry patients.

As a former Chief of Staff at two veterinary clinics, I understand the business side of veterinary medicine. I love the interaction and relationships that I have built with patients and clients over my career. I will bring that same enthusiasm to your practice.

I started All Four Paws Veterinary Relief, LLC in 2013. As a mother of two great kids (Christopher and Gabrielle), I needed a way to balance my passion as a mom and as a veterinarian. Starting my own relief practice has given me the flexibility to do both!


  • Virginia Board of Health Professions: Veterinarian, #301201262

  • Maryland Board of Health Professions: Veterinarian, #7866

  • Drug Enforcement Administration Practitioner’s License

Katie Kuchinsky, DVM - Market Street Animal Clinic

“We consider All Four Paws Relief not only professional colleagues but friends to our practice and clients. Doctors Starke and Kirk are thorough clinicians, considering patient care as well as client comfort. We are a one doctor practice and appreciate a veterinarian that can come in and provide true relief.Dr. Starke has been working with us for several years. She is a family oriented person with a great disposition and the ability to manage a busy schedule. We appreciate her interpersonal skills and bedside manner. We recommend All Four Paws Relief Services.”

Anne Williams, DVM - Del Ray Animal Hospital

“We are very impressed with the quality of care that the All Four Paws veterinarians provide. It is surprising how well they integrate into our practice. We are always relieved to see their friendly faces as we know that our clients and patients will be in very capable hands. They are an invaluable asset to our practice. We would highly recommend All Four Paws Vet Relief.”

Sue-Anne Slonin, Practice Manager of Falls Road Animal Hospital

“One of our veterinarians retired and another veterinarian went on maternity leave, and suddenly, we found ourselves in a difficult position for about 3 months of being short on veterinary coverage. We fortunately found All Four Paws Veterinary Relief. They were able to cover more of our shifts than any other relief companies I contacted. The doctors have been wonderful and easy to work with. Our clients feel they have been well cared for and the relief veterinarians have maintained our high level of service. The relief doctors have adapted to our workflow with ease and have learned our electronic medical record system quickly even though they have not worked with this system in the past. I could not imagine walking into a new veterinary practice, meeting everyone, learning the computer system and attending to appointments as seamlessly as they have done. I would recommend this company to any hospital that needs help covering shifts and needs to pursue the assistance of relief veterinarians.”