You can approximate the tangent by placing a very small circle path around your tangent point and finding the intersection between that small circle and the ellipse. You can then use the calc library to draw the tangent using.
\documentclass[border=5mm]{standalone}
\usepackage{tikz}
\usetikzlibrary{intersections, calc}
\begin{document}
\begin{tikzpicture}
\draw [name path=ellipse] (0,0) ellipse (2cm and 1cm);
\node[shape = circle, inner sep=1.5pt, fill] (P) at (163:2cm and 1cm) {};
\path [name path=aux] (P) circle [radius=1bp];
\draw [name intersections={of=ellipse and aux}] (P) -- ($(intersection-1)!1cm!(intersection-2)$);
\end{tikzpicture}
\end{document}

A different approach is to use a path with an arc to place a node with the sloped option, which will result in the node being oriented along the arc. You can then use the node's anchors to draw the tangent with a fixed length using the calc library. If your node's name is tangent, you'd get the unit vector using
\draw (tangent.center) -- ($(tangent.center)!1cm!(tangent.west)$);

\documentclass[border=5mm]{standalone}
\usepackage{tikz}
\usetikzlibrary{calc}
\begin{document}
\begin{tikzpicture}
\def\angle{163}
\draw (0,0) ellipse (2cm and 1cm);
\node[shape = circle, inner sep=1.5pt, fill] (P) at (\angle:2cm and 1cm) {};
\path (2,0) arc [
start angle=0,
end angle=\angle,
x radius=2cm,
y radius=1cm
] node [pos=1,sloped, name=tangent] {};
\draw (tangent.center) -- ($(tangent.center)!1cm!(tangent.west)$);
\end{tikzpicture}
\end{document}
P? – dustin Jun 18 '13 at 03:37nodeneeds to be specified as part of apath, so that the slope can be determined. Thepathisn't drawn. – Jake Jun 18 '13 at 03:37