It seems she was born 'female', but had to have some exterior changes made to rectify the mistake made by 'mother nature'.
Once that was done she is as female as any other female. Mother nature isn't always correct with decisions during development.
She wasn't being changed from a male to a female, she was born female. There is much more to being a certain gender than physical genital organs, there are other tests which will prove her gender, one being what she feels she is, and other medical tests which back that up.