Yes if she is living outside Canada then it is an outland app.When you get your app done and she does her permant resident app you will fed ex it off to mississauga,from there they will send it to the visa office responsible for the country she is from.
Where is she from? This determins how long it will take to process.
If she is in the US she needs to apply for the FBI clearance right away as it takes a while to get.And if not she needs to do the medical and a police clearance for every country she has lived in.
The medicals are done by an approved medical docotor.
If you need more just ask...hope this helped a little