Preheat oven to 350F.
In a large dutch oven or saucepan, heat avocado oil.
Add in onion, zucchini, pepper, and carrots. Saute 6-8 minutes or until veggies have softened.
Add in garlic, oregano, basil, salt, and pepper and cook another minute.
Pour in marinara sauce and water. Bring to a boil.
Add in Pennsylvania Dutch Noodles. Mix well and stir occasionally. Cook 10-12 minutes or until liquid has absorbed.
Turn off heat. Stir in ricotta cheese.
Add bag of spinach and mix, it will take a few minutes to wilt down.
Pour into a cast iron skillet or a large saute pan. Top with mozzarella cheese.
Bake 20 minutes. Top with basil. Let cool 10 minutes before serving.