It's never an issue
I have never had a problem picking up a room key left for me at the front desk....and I've never been required to show ID for it.
With that said, unless the lady is visiting late at night, she should have no problem just getting into the elevator with somebody else and letting them activate it.
If you want to get complicated with the situation, you could have her call you as she is approaching the hotel. At that point, head to the front desk and ask if you have any mail or messages, peruse the restaurant menu etc. You should be able to meet at the elevator, exchange random stranger pleasentries, and ride up together.
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