I have smaller hands as well and I do tent it slightly but then I only use the first "piano" key regularly [1]. The others on the thumb cluster are for layer keys.

My only gripe is that you can't negative tilt it, which I prefer when standing. I do love my Moonlander though.

* [1] https://configure.ergodox-ez.com/moonlander/layouts/rOjGj/la...