Otherwise, the little woman (4)
I believe the answer is:
else
This could be a double definition.
'otherwise' is the first definition.
(synonyms)
'the little woman' is the second definition.
'Else' can be an answer for 'woman'. I'm not certain of the 'the little' bit.
Can you help me to learn more?
(Other definitions for else that I've seen before include "In addition; different" , "Otherwise; different from" , "As an alternative" , "Besides; different" , "Other than (what is under consideration)" .)