5+ years of full-stack development with production ownership. Python ecosystem: Flask, Gunicorn, Celery, Redis, Postgres, psycopg, conda/venv, FFmpeg/pydub. Node.js ecosystem: Node 18+, Express 5, axios, multer, helmet, expressratelimit, csrf, marked, nodefetch/undici. Web app delivery: HTML/CSS/JS, UX for dashboards/wizards/modals/drawers, performance optimization. Architecture & operations: Docker/Compose, environment config, secrets via env vars, git workflows. Security: API key enforcement, session security, CSRF, CSP, rate limiting, secure headers, file upload safety. Cloud experience (Azure/AWS/GCP) and managed Postgres (nice to have). CI/CD (GitHub Actions), IaC/Terraform, container orchestration (nice to have). Data privacy/compliance experience (audit trails, access controls) (nice to have). EHR integrations (Charm or similar), HIPAA aligned workflows (nice to have). Form platforms (Form.io), PDF generation/signing, invoice pipelines (nice to have).