Is there a Native Perl for Windows 10 Arm64 ?

Not that I've heard of.
Have you any interest in building one ?
I envisage that, using the Microsoft compiler you indicated, you'd start by working through the (self-documenting) win32/Makefile in the perl source.

If, instead, you wanted to try building perl with a mingw-w64 port of gcc then, according to Wikipedia "a packaging of LLVM's clang to mingw-w64 is also provided by MSYS2. It supports ARM for Windows (aarch64-w64-mingw32 and armv7-w64-mingw32)".
However, it seems there's not yet an MSYS2 for arm64, though the idea has been floated, and some progress has been made. (Google for "msys2 arm64".)
I also note that there are mingw-w64 ports of gcc that include clang and LLVM available at http://winlibs.com/.
With them, you'd start by working your way through the win32/GNUmakefile.

I have absolutely no idea what sort of mileage you would get with any of those approaches ... I expect there would be some non-trivial problems to solve.

Cheers,
Rob

PS: Cygwin also provides a build of perl, so you could see if anything useful turns up when you google for "Cygwin arm64".
However, I don't think that Cygwin (or MSYS2, for that matter) really count as "native" windows.