Don’t forget over 60% of the med schools don’t even take/look at international students. Your D must be in a top tier school that accepts international students. As far as I know less than 200 international students are admitted each year in entire USA.
On sdn, there is a perfectly scored(526+ Mcat, 4.0 gpa, EC, LOR and research) internal applicant can’t get in to ANY med school for over 3 years.