3 Houston innovators to know this week

who's who

This week's roundup of Houston innovators includes Natara Branch of Houston Exponential, Tim Latimer of Fervo Energy, and Ayse McCracken of Ignite. Photos courtesy

Editor's note: In this week's roundup of Houston innovators to know, I'm introducing you to three local innovators across industries recently making headlines in Houston across energy, health care, and more.

Natara Branch, CEO of Houston Exponential

Natara Branch joins the Houston Innovators Podcast to discuss changes to the organization's spring summit. Photo courtesy of HX

For three years, Houston Exponential has hosted a week-long event showcasing and connecting Houston's tech and innovation community, but next year it might look a little different.

Houston Tech Rodeo, which originated in 2020, has been rebranded to H-Town Roundup, but the week of innovation and entrepreneurship still has the same goal of providing programming and events that connect and educate Houstonians. And, for the ease of transition, the organization is still conveniently referring to the event as HTR.

Natara Branch, CEO of Houston Exponential, says the change is meant to make for a more inclusive experience for entrepreneurs of small businesses, something she's seen a need for since she took on her role last year.

"This year, we've had the better part of a year to think about what can be different and how can we serve the founder," she says on the Houston Innovators Podcast. Read more.

Tim Latimer, CEO and founder of Fervo Energy

Tim Latimer, CEO and co-founder of Fervo Energy. Photo via LinkedIn

Google is on a mission to run all of its data centers and office campuses on constant carbon-free energy by 2030, and the tech giant is one step closer to that goal thanks to technology from a Houston startup.

Last week, Google announced that its 24/7 carbon-free energy, or CFE, in Nevada to power its local data center in the state is officially operational. The facility is powered by Houston-based Fervo Energy's geothermal technology, a project — called Project Red — that began in 2021 and celebrated its successful pilot this summer. Tim Latimer founded Fervo on the West Coast before relocating the company to Houston. Read more.

Ayse McCracken, founder of Ignite Health Foundation

Ignite has announced a new foundation to further its reach in supporting women in health care. Photo via ignitehealthcare.org

For the past few years, a Houston organization has supported nearly 100 female-founded health tech startups with programming, crucial connections, and more. Now, with a newly launched nonprofit arm, the organization is taking it to the next level to bolster women in health care.

Ignite Healthcare Network, which was founded in 2017 by longtime Houston health care professional Ayse McCracken, has created Ignite Health Foundation, a nonprofit foundation, to go beyond startups and technology to support women in health care across the board with networking and events, in-person and virtual programming, professional development, and more.

"The Foundation is a vehicle for major fundraising grants and foundations allowing Ignite to scale the work we do to discover exceptional women leaders and innovators, connect them with an expert community and help them achieve their career goals," McCracken says. Read more.

Ignite has announced a new foundation to further its reach in supporting women in health care. Photo via ignitehealthcare.org

Houston health tech accelerator launches nonprofit to spark, support female leaders in the industry

igniting change

"This initiative not only amplifies our commitment to inspiring innovation in an untapped resource, female leaders and entrepreneurs but also sets the stage for groundbreaking advancements in healthcare," she adds.

The foundation will accept donations from those who look to level the playing field for women in health care leadership and to support innovative endeavours from female founders. The financial support will go toward all of Ignite's programming

"Join us on the journey and invest in women shaping the future of healthcare to create an inclusive and healthier world," says Sara Speer Selber, chair of Friends of Ignite Health Foundation, in the release.

Last month, Ignite hosted its annual Fire Pitch Competition at the Ion, crowning the award recipients and doling out cash prizes. This year, eight finalists of the 19-company cohort presented at the competition for judges and an audience, and three companies secured top spots and prizes.

In a recent interview with InnovationMap, McCracken spoke to how she's always looking for ways to grow her impact with Ignite.

"Having an impact in the health care industry and finding solutions is important to me," McCracken says of her passion for Ignite on a recent episode of the Houston Innovators Podcast. "The second aspect of that is there are so many women in health care, and yet you don't see them in leadership roles."

Ayse McCracken, founder of Ignite Healthcare Network, joins the Houston Innovators Podcast to discuss how she's growing her impact on female health tech founders. Photo via LinkedIn

Houston health tech leader to expand accelerator to continue connecting female founders

HOUSTON INNOVATORS PODCAST EPISODE 203

With a decades-long career in health care, Ayse McCracken's most recent professional chapter has been laser focused on finding, supporting, and accelerating female-founded startups in health tech with her nonprofit, Ignite Healthcare Network.

Originally founded in 2017 as a pitch competition, Ignite has evolved to become an active and integral program for female health tech entrepreneurs. Ninety-one founders have graduated from Ignite and gone on to raise over $550 million in funding for their ventures. Currently, Ignite has 19 women in its 2023 cohort, which concludes November 9 with the annual Fire Pitch competition.

"Having an impact in the health care industry and finding solutions is important to me," McCracken says of her passion for Ignite on this week's episode of the Houston Innovators Podcast. "The second aspect of that is there are so many women in health care, and yet you don't see them in leadership roles."

With Ignite, McCracken is actively seeking out these potential female leaders, and giving them the support — through mentorship, programming, and networking opportunities — they need to grow their business.

Each year, McCracken explains, she's pushing the envelope with what she can accomplish with Ignite. This year, she hosted a new event in Dallas to reach female founders there, and coming soon, Ignite will launch a platform that will extend its relationship with its founders and keep them looped in with potential customers, mentors, investors, and more.

"We're in the process of building our own platform that continues to connect our ecosystem so that we're not just an episode in the journey of an entrepreneur, but that we have the ability to help them along their path," McCracken says. "That path is a rollercoaster for a variety of reasons — whether it's gender or market related — and if we help to provide a community that can provide support for companies that have promise, our goal is to, over time, triple the money that female entrepreneurs are getting."

But McCracken says she wants Ignite to do more than just find investors for her network of founders.

"Success to me isn't just getting people an early stage investment," she explains. "Success to me is getting companies that actually commercialize, get their products in the market, and that they are actually making an impact on health wellbeing, patients, and so forth."

McCracken shares more about the future of Ignite on the podcast. Listen to the interview here — or wherever you stream your podcasts — and subscribe for weekly episodes.

Prana Thoracic, an innovative startup in the lung cancer diagnostics space, has raised its series A round of investment. Photo via LinkedIn

Houston health tech company closes $3M series A

money moves

It's been just under six months since the launch of Prana Thoracic, a Houston health tech startup tackling lung cancer diagnostics, and the company has already secured its next round of investment funding.

Prana Thoracic, a medical device company developing a tool for early interception of lung cancer, announced last week that it closed a $3 million series A financing round led by Florida-based New World Angels with participation from Johnson & Johnson Innovation – JJDC, Inc., Texas Medical Center Venture Fund, and the University City Science Center’s Phase 1 Ventures.

In August, the company received a $3 million award from the Cancer Prevention & Research Institute of Texas. All of Prana Thoracic's funding is being used to develop the unique diagnostic product and the company's path to first-in-human clinical studies.

“Our technology provides a definitive answer to patients with lung nodules and allows physicians to intervene earlier in the lung cancer patient’s journey,” says Joanna Nathan, CEO, and co-founder of Prana, in a news release. “Our team is grateful to have the support of our investors and excited to leverage this financing to accelerate our technology to the bedside.”

The company's technology is a minimally invasive, tissue-sparing nodulectomy tool that can evaluate suspicious pulmonary nodules early on in hopes of being able to catch and treat patients with lung cancer. The tool's development originated on the grounds of the Texas Medical Center in collaboration with Precision Thoracic Corp.

“Prana’s cutting-edge technology was developed on the TMC campus, and we are excited to continue to support Prana in meeting its next milestone through funding from the TMC Venture Fund. The technology they are spearheading could be a game changer in how physicians detect and treat lung cancer. Congratulations to the team on this exciting announcement,” says William McKeon, president and CEO of the Texas Medical Center, in the release.

Micheal Haimour, director of New World Angels, has joined Prana as a board member.

“We are delighted to support CEO Joanna Nathan and her team at Prana as they seek to develop solutions for the early detection and intervention of lung cancer,” he says in the release

Since the company emerged from stealth last summer, Prana has added a few feathers to its cap as a startup. In November, Nathan pitched and won first place at Ignite Healthcare Network’s annual Fire Pitch Competition. Prana was also named a finalist in the Female-Founded Businesses category of the Houston Innovation Awards. Currently, Prana is a member of the Spring 2023 cohort of the TMCi HealthTech Accelerator.

Three female-founded health tech startups won awards at this year's Ignite Healthcare's Fire Pitch Competition. Photo courtesy of Ignite

Houston health tech startup wins female-focused pitch competition

women in health care

For the fourth year, a Houston-based, female-focused health tech organization has spotlighted the industry's emerging technology entrepreneurs.

Earlier this month, Ignite Healthcare Network’s Accelerator Program hosted its seven women-led digital health startup finalists, narrowed down from over 330 startups, at its annual Fire Pitch Competition. The nonprofit is led by a group of women executives committed to shaping the future of health care.

“The fourth year of Ignite Health’s Accelerator Program has proved to attract more and more women founders of digital tech and med device startups from around the world,” says Ayse McCracken, Ignite's founder, in a news release.

According to McCracken, 22 applicants made it into the program, which launched earlier this year. A group of judges narrowed down that group to seven finalists, before announcing the top three companies for the competition.

Joanna Nathan, CEO of Houston-based Prana Thoracic, won the top award for her company. Stephanie Gravenor, founder of Denver-based Medecipher, and Liane Clamen, founder of Chestnut Hill, Massachusetts-based Adaptilens, won second and third, respectively.

The event doled out over $500,000 in total. Jay Goss, general partner of Wavemaker Three-Sixty Health, announced $100,000 investments into four finalists' companies. The finalists receiving this award are:

Pamela Bonnett, CEO of Denver-based Ultrasound AI
Christine Lum Lung, co-founder and CEO of Fort Collins, Colorado-based Origin Healthcare
Pamela Singh, co-founder and CEO of Houston-based CaseCTRL
Stephanie Gravenor, founder and CEO of Denver-based Medecipher

The partner organizations participating in this year's accelerator and event included Houston Methodist, Memorial Hermann Health System, Texas Children’s Hospital, Texas Children’s Pediatrics, The Menninger Clinic, HCA, Kindred Healthcare, Aetna, Texas Health Resources, Cook Children’s Hospital, TMC, Golden Seeds, Wavemaker 360 Health, Portfolia, Prosalus, 7Wire, Texas Halo Fund, Unity Point Ventures, and others.

“We are grateful for the support and generosity of our sponsors for helping to make this event possible,” says Cheryl Stavins, Ignite board member and co-chair of the event, in the news release. “Their support and involvement continue to ignite our mission and passion to ensure the success and recognition of women entrepreneurs in healthcare.”

Earlier in the day, Ignite Health hosted a new event called “Women Shaping the Future of Healthcare Luncheon." Eighty female executives, investors, founders, and community leaders gathered to hear from three of Ignite Health’s alumni founders: Somer Baburek, CEO of Hera Biotech, Dr. Liz Clayborne, CEO of Nasaclip, and Amanda Gorman, chief clinical officer of Nest Collaborative.

In the latest round up of Houston innovation news you may have missed, Houston has been deemed an affordable city for tech careers, HighRadius has a new product, and more. Photo via Getty Images

Houston named an affordable tech city, startup hires CFO, and more local innovation news

short stories

It's been a busy summer for the Houston innovation ecosystem, and for this reason, local startup and tech news may have fallen through some of the cracks.

In this roundup of short stories within Houston innovation, a software company has a new game-changing product, Houston was named an affordable city for a tech career, a health tech startup has a new C-suite leader, and more.

Houston ranks as affordable tech city

Houston is an affordable city to start off your career in tech, per this new report. Image courtesy of CodingDojo

While the coasts have some of the most booming tech hubs, Coding Dojo set off to identify the hubs with affordability for young professionals just starting off. The coding bootcamp started off by identifying the fastest growing cities in America using data from the Census, and factored in Apartment List's housing price data and the number of engineering jobs available in each city.

"The purpose of the report is to highlight cities that may be overlooked but have affordable living costs, plenty of open developer jobs in the vicinity and thus, are viable options to start or continue a career in tech," reads the report.

Houston ranks as No. 6 on the list, following Dallas at No. 1 and Austin suburb Leander as No. 2.

"With major campuses or headquarters in town for companies like FlightAware, Microsoft, Halliburton, and many others, you won't have a problem with Houston as your tech career destination," the report writes.

Houston data in the report:

Median Rent: $1,141
Entry-Level Developer Jobs: 81
Mid-Level Developer Jobs: 278

HighRadius announces new product

HighRadius has a new game-changing software update. Photo via highradius.com

Houston unicorn fintech SaaS company HighRadius has a new product that hit a milestone. The RadiusOne AR achieved "Built for NetSuite" status, according to a news release from the company.

"With RadiusOne AR, we can help NetSuite customers automate their AR processes, manage their operational costs, and increase efficiency," says Sayid Shabeer, chief product officer at HighRadius, in the release. "The RadiusOne AR SuiteApp will allow our joint customers to have stronger cash-flow using AI-based technology to automate their electronic invoicing, collections, cash reconciliation, and credit risk."

The product is aimed at streamlining invoicing and collections, cash reconciliation and credit risk services. The software is affordable and easy to deploy, potentially delivering value in as little as four weeks, per the release.

"Businesses continue to look for ways to bring automation and intelligence to their AR processes to better manage their working capital," says Guido Haarmans of Oracle NetSuite in the release. "This new SuiteApp extends our robust solution for receivables management and helps NetSuite customers further optimize their cash flow management."

Ignite Healthcare's pitch application deadline looms

Now's the time to apply for Ignite's annual accelerator. Photo courtesy of Ignite

Ignite Healthcare Network has opened applications for its annual mini accelerator programs for women-led digital health and med tech companies. The deadline to apply online is July 19.

The program "provides women-led healthcare startups the unique opportunity to engage with potential customers and investors who will assess and advise on the strengths and weaknesses of their companies," according to the website.

Following the mentorship and acceleration, Ignite's Pitch Competition Event allows finalists a chance to compete for several hundred thousand dollars in cash and investment prizes from health care executives and investors. This year, the audience will include parties interested in social impact investing, in search of companies that have solutions to the needs of underserved populations, reads the website.

Pulmotect names new CFO

Bill Noss joined Houston-based Pulmotect's C-suite in June. Photo courtesy of Pulmotect

Houston-based Pulmotect Inc., a clinical-stage biotechnology company, announced a new CFO late last month. William J. Noss III joined the company's team.

"I am delighted to welcome Bill to Pulmotect at such an important time for the company," says Dr. Colin Broom, CEO of Pulmotect, in the news release. "His expertise and experience will help build our infrastructure as we continue the clinical development of PUL-042. It is an exciting time to join Pulmotect, with two Phase 2 clinical trials for the prevention and treatment of COVID-19 that have been supported with funding from the Department of Defense and our planned clinical trials for the prevention of respiratory complications in cancer patients."

Noss has over 15 years of experience in the life science industry, formerly at Harmony Biosciences, where he helped lead the company through their commercial launch and subsequently through their initial public offering of $148 million, per the release.

"I am very excited to join this outstanding team as the company grows," says Noss in the release. "PUL-042 has the potential to protect patients from a broad range of viral and other pulmonary infections by activating the innate immune system. I look forward to playing a key role in the drug development program by working hard for the future benefit of patients and creating long-term value for the company and our stakeholders."

Hess makes $9M donation to STEM initiatives in the community

Houston-based Hess Corp. has contributed to a citywide initiative. Photo via trammellcrow.com

Last month, Hess Corp. announced a $9 million donation over the next three years. The gift is a part of its Learning for Life Partnership to fund educational programs and support services for Mayor Sylvester Turner's Complete Communities Initiative.

About 22 schools and over 13,000 children from pre-K through high school will benefit from the funds in the Third Ward, Magnolia Park-Manchester, and Second Ward Complete Communities neighborhoods.

Among other initiatives, the Hess Learning for Life Partnership will fund STEM equipment and curricula, teacher training, computer equipment, mentorship programs, accreditation initiatives, career life guidance counseling, and other support, according to a news release.

"Our company has a proud history of social investment programs that make a positive and lasting impact on the communities where we operate," says CEO John B. Hess in the news release. "In partnership with Mayor Turner's initiative, we are delighted to expand our commitment to provide children in the neighborhoods adjacent to Hess Tower in downtown Houston with the academic and social resources they need to reach their full potential."

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Houston doctor aims to revolutionize hearing aid industry with tiny implant

small but mighty

“What is the future of hearing aids?” That’s the question that led to a potential revolution.

“The current hearing aid market and technology is old, and there are little incremental improvements, but really no significant, radical new ideas, and I like to challenge the status quo,” says Dr. Ron Moses, an ENT specialist and surgeon at Houston Methodist.

Moses is the creator of NanoEar, which he calls “the world’s smallest hearing aid.” NanoEar is an implantable device that combines the invisibility of a micro-sized tympanostomy tube with more power—and a superior hearing experience—than the best behind-the-ear hearing aid.

“You put the NanoEar inside of the eardrum in an in-office procedure that takes literally five minutes,” Moses says.

As Moses explains, because of how the human cochlea is formed, its nerves break down over time. It’s simply an inevitability that if we live long enough, we will need hearing aids.

“The question is, ‘Are we going to all be satisfied with what exists?’” he asks.

Moses says that currently, only about 20 percent of patients who need hearing aids have them. That’s because of the combination of the stigma, the expense, and the hassle and discomfort associated with the hearing aids currently available on the market. That leaves 80 percent untapped among a population of 466 million people with hearing impairment, and more to come as our population ages. In a nearly $7 billion global market, that additional 80 percent could mean big money.

Moses initially patented a version of the invention in 2000, but says that it took finding the right team to incorporate as NanoEar. That took place in 2016, when he joined forces with cofounders Michael Moore and Willem Vermaat, now the company’s president and CFO, respectively. Moore is a mechanical engineer, while Vermaat is a “financial guru;” both are repeat entrepreneurs in the biotech space.

Today, NanoEar has nine active patents. The company’s technical advisors include “the genius behind developing the brains in this device,” Chris Salthouse; NASA battery engineer Will West; Dutch physicist and audiologist Joris Dirckx; and Daniel Spitz, a third-generation master watchmaker and the original guitarist for the famed metal band Anthrax.

The NanoEar concept has done proof-of-concept testing on both cadavers at the University of Antwerp and on chinchillas, which are excellent models for human hearing, at Tulane University. As part of the TMC Innovation Institute program in 2017, the NanoEar team met with FDA advisors, who told them that they might be eligible for an expedited pathway to approval.

Thus far, NanoEar has raised about $900,000 to get its nine patents and perform its proof-of-concept experiments. The next step is to build the prototype, but completing it will take $2.75 million of seed funding.

Despite the potential for making global change, Moses has said it’s been challenging to raise funds for his innovation.

“We're hoping to find that group of people or person who may want to hear their children or grandchildren better. They may want to join with others and bring a team of investors to offset that risk, to move this forward, because we already have a world-class team ready to go,” he says.

To that end, NanoEar has partnered with Austin-based Capital Factory to help with their raise. “I have reached out to their entire network and am getting a lot of interest, a lot of interest,” says Moses. “But in the end, of course, we need the money.”

It will likely, quite literally, be a sound investment in the future of how we all hear the next generation.

Forbes and Fortune spotlight Houston innovators and more news to know

Trending news

Editor's note: It's time to look back at the top trending innovation news in April. Forbes and Fortune magazines put the spotlight on Houston, plus a Houston startup makes its rodeo debut and a state-of-the-art facility opens in the Energy Corridor. Here are the five most-read InnovationMap stories for the first half of April 2025.

1. Google teams up with Rice University to launch AI-focused accelerator

The new Rice Nexus is partnering with Google Public Sector and Non Sibi Ventures to support high-potential AI-focused startups. Image via Rice University.

Google Public Sector is teaming up with Rice University to drive early-stage artificial intelligence innovation and commercialization via the new Rice AI Venture Accelerator, or RAVA.

RAVA will use Google Cloud technology and work with venture capital firm Non Sibi Ventures to connect high-potential AI-focused startups with public and private sector organizations. The incubator will be led by Rice Nexus, which launched earlier this year in the Ion District as an AI-focused "innovation factory.” Continue reading.

2. State-of-the-art innovation hub opens in Houston Energy Corridor

Schneider Electric's new Energy Innovation Center can simulate various real-world scenarios in refineries, combined-cycle power plants, ethylene plants and other facilities. Getty Images

French multinational company Schneider Electric has opened a new 10,500-square-foot, state-of-the-art Energy Innovation Center in Houston. The new facility is located in Houston’s Energy Corridor and is designed to “foster increased collaboration and technological advancements across the entire value chain,” according to a release. The new Houston location joins Schneider's existing innovation hubs in Paris, Singapore and Bangalore.

The venue will serve as a training center for process control engineers, production superintendents, manufacturing managers, technical leads and plant operations personnel. It can simulate various real-world scenarios in refineries, combined-cycle power plants, ethylene plants, recovery boilers and chemical reactors. Continue reading.

3. 18 Houstonians land on Forbes world's billionaires list for 2025

Tilman Fertitta is the richest Houstonian, according to Forbes. Courtesy photo

The world’s richest people are wealthier now than they've ever been, and more billionaires have made it onto the 2025 World's Billionaires List than ever before, according to Forbes. This year, 18 Houston-based billionaires are among the richest people in the world, with hospitality honcho Tilman Fertitta leading as the richest Houstonian.

Fertitta, 67, ranked No. 220 overall with an estimated net worth of $11.3 billion, which steadily increased from his 2024 net worth of $9.4 billion. Continue reading.

4. 8 Houston companies earn spots among Fortune's most innovative for 2025

Health care companies dominated Fortune's America’s Most Innovative Companies report for 2025, with Houston’s top-rated company on the list falling into that sector. Photo via Getty Images

Eight Houston companies have been named to Fortune’s third annual list of America’s Most Innovative Companies, joining another 16 from the state of Texas. The group of 300 companies nationwide was rated based on production innovation, process innovation, and innovation culture, according to Fortune. In partnership with Statista, the magazine considered IP portfolios, employee, expert and customer opinions; and many other factors.

While many of the top-rated companies fell into the tech sector, Fortune reports that health care companies made up the largest portion of the 2025 list. Sixty-three honorees fell into the health care category, including Houston’s top-rated company, Houston Methodist. Continue reading.

5. Houston startup unveils its innovative leather alternative at the rodeo

Rheom Materials presented its bio-based alternative, Shorai, a 93 percent bio-based leather, at the rodeo and plans to scale it up this year. Photos courtesy Rheom Materials

Last month’s Houston Livestock Show and Rodeo stirred up another rootin’ tootin’ time for Houstonians and beyond. But before the annual event galloped into the sunset, there were quite a few memorable innovations on display, with one notably coming from Rheom Materials.

The Houston-based pioneer of next-generation materials presented its scalable, bio-based alternative known as Shorai, a 93 percent bio-based leather, through two custom, western-inspired outfits that showed off cowboy flair through a sustainable lens. Continue reading.

Houston VC funding surged in Q1 2025 to highest level in years, report says

by the numbers

First-quarter funding for Houston-area startups just hit its highest level since 2022, according to the latest PitchBook-NVCA Venture Monitor. But fundraising in subsequent quarters might not be as robust thanks to ongoing economic turmoil, the report warns.

In the first quarter of 2025, Houston-area startups raised $544.2 million in venture capital from investors, PitchBook-NVCA data shows. That compares with $263.5 million in Q1 2024 and $344.5 million in Q1 2023. For the first quarter of 2022, local startups nabbed $745.5 million in venture capital.

The Houston-area total for first-quarter VC funding this year fell well short of the sum for the Austin area (more than $3.3 billion) and Dallas-Fort Worth ($696.8 million), according to PitchBook-NVCA data.

While first-quarter 2025 funding for Houston-area startups got a boost, the number of VC deals declined versus the first quarters of 2024, 2023 and 2022. The PitchBook-NVCA Monitor reported 37 local VC deals in this year’s first quarter, compared with 45 during the same period in 2024, 53 in 2023, and 57 in 2022.

The PitchBook-NVCA report indicates fundraising figures for the Houston area, the Austin area, Dallas-Fort Worth and other markets might shrink in upcoming quarters.

“Should the latest iteration of tariffs stand, we expect significant pressure on fundraising and dealmaking in the near term as investors sit on the sidelines and wait for signs of market stabilization,” the report says.

Due to new trade tariffs and policy shifts, the chances of an upcoming rebound in the VC market have likely faded, says Nizar Tarhuni, executive vice president of research and market intelligence at PitchBook.

“These impacts amplify economic uncertainty and could further disrupt the private markets by complicating investment decisions, supply chains, exit windows, and portfolio strategies,” Tarhuni says. “While this may eventually lead to new domestic investment and create opportunities, the overall environment is facing volatility, hesitation, and structural change.”

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