Why did you issue make if nmake is your make program?(perl -V:make
Did you see "Note (probably harmless): No library found for '-lexif'"?
Do you have libexif? (the README lists it as a requirement)
From what I can see, libexif does not yet come in win32 flavor. Have fun ;)

Tutorials -> Writing, Installing, and Using Perl Modules -> A Practical Guide to Compiling C based Modules under ActiveState using Microsoft C++

MJD says "you can't just make shit up and expect the computer to know what you mean, retardo!"

I run a Win32 PPM repository for perl 5.6.x and 5.8.x -- I take requests (README).

** The third rule of perl club is a statement of fact: pod is sexy.