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By not wearing a mask she increases the risk of the business's employees and customers regardless of whether or not she has an underlying medical condition. It should be perfectly within the rights of the business to refuse service, especially since the service is non-essential.
This is also arguably true of people who bring service animals into restaurants and other places where food is being openly prepared. There's a reason many states' food safety codes legally prohibit animals in these spaces. There's also a reason exceptions are made.
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Those exceptions were made because it was a longstanding problem, where risk could be accurately studied and estimated, and deemed to be sufficiently low. But the risk in this situation is not well understood and could be orders of magnitude higher.
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We do this all the time across contexts with variable risk. Immunocompromised children who can't receive vaccines present a community risk of serious illness and death, but accommodations are made. In fact, *all* infants & toddlers are generally permitted to not wear masks.
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